Lake Country Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

LAKE COUNTRY ORTHODONTICS

Practice address

1119 Walnut Dr Ste 4
Ardmore, OK 73401-2360

Phone

(580) 226-2331

Fax

(580) 226-8776

NPI assigned

Aug 13, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lori A Miller

Title

Office Manager

Phone

(580) 226-2331

Specialties & licenses 1

Addresses

Other names 1

• Stretesky Orthodontics Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1962013813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 WALNUT DR STE 4",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012360",
            "telephone_number": "580-226-2331",
            "fax_number": "580-226-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 WALNUT DR STE 4",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012360",
            "telephone_number": "580-226-2331",
            "fax_number": "580-226-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-226-2331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stretesky Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mysteri Kosmicki
• Kristi McCoy, Counseling and Assessment, PLLC
• Joshua Kuykendall, DDS
• Sarah Kuykendall
• Judith Diane Kyle, RN
• Lakeland Manor Inc
• Connie S Lamar, R.N.
• Laura J. Lamb Atchley, MS, LPC, LADC
• Ethan Lambe
• Cameron Paul Lancarte, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.