TDC LANTANA LLC (NPI# 1346764123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346764123 |
| Entity Type | Organization |
| Organization Name | TDC LANTANA LLC |
| Practice Address |
6346 Lantana Rd Suite 68 Lake Worth FL 33463 |
| Mailing Address |
6346 Lantana Rd Ste 68 Lake Worth FL 33463-6664 |
| Practice Telephone | (561) 439-5100 |
| Practice Fax Number | 5614395100 |
| Mailing Telephone | 5614395100 |
| Mailing Fax Number | 5614395100 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | JORDAN TOMALTY (OWNER/DENTIST) |
| Authorized Official Telephone | 5617778980 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
6346 LANTANA RD SUITE 68 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1750992228 | Janet Arlene Meikle | Nurse's Aide | 5500 Albin Drive, Greenacres, FL 33463 | 2020-08-10 |
| 1205478955 | Nadine Pierre Jean | Nurse Practitioner | 5333 Island Gypsy Drive, Green Acres, FL 33463 | 2019-10-15 |
| 1427537372 | Dorothy Carol Rose Smith | Speech-Language Pathologist | 6200 Grand Cypress Circle, Lake Worth, FL 33463 | 2018-08-11 |
| 1366930059 | Family Care Rx, LLC | Pharmacy | 6428 Melaleuca Ln, Greenacres, FL 33463 | 2018-04-27 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1174039960 | Marigold Nursing, LLC | Registered Nurse | 3900 Woodlake Blvd., Suite 200-13, Lake Worth, FL 33463 | 2017-12-16 |
| 1295245512 | Jocelyn Augustin | Physical Therapist | 5026 Sabreline Terrace, Green Acres, FL 33463 | 2017-10-02 |
| 1922527662 | Victoria Johnson | Licensed Practical Nurse | 6166 Plains Drive, Lake Worth, FL 33463 | 2017-09-13 |
| 1902329634 | Sherley Dorsainvil | Behavior Technician | 5514 Baja Terrace, Greenacres, FL 33463 | 2017-07-25 |
| Find all providers in zip 33463 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815479 | Pablo R Prado, Dmd, Pa | Clinic/Center | 6169 S Jog Rd Ste B2, Lake Worth, FL 33467-6514 | 2020-06-09 |
| 1780225862 | Francy J Arciniegas Dmd, Pa | Clinic/Center | 325 S Dixie Hwy Ste 5, Lake Worth, FL 33460-4423 | 2019-09-30 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1275196396 | Cagigas Dental Service LLC | Clinic/Center | 2311 10th Ave N Ste 14, Lake Worth, FL 33461-6605 | 2019-04-15 |
| 1932658978 | Lake Worth Orthodontics | Clinic/Center | 6045 Hagen Ranch Rd, Suite 2, Lake Worth, FL 33467-7251 | 2016-10-03 |
| 1073874723 | Little Smiles Dentaloffice #4 | Clinic/Center | 1708 N Federal Hwy, Lake Worth, FL 33460-6668 | 2012-05-30 |
| 1275706566 | Serene Dental Center | Clinic/Center | 2411 10th Ave N, Lake Worth, FL 33461-3128 | 2008-04-08 |
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| 1811598238 | Dental Plus Management, LLC | Clinic/Center | 16 Ne 2nd Ave, Deerfield Beach, FL 33441-3504 | 2020-11-03 |
| 1750981452 | Smillie Dental Pllc | Clinic/Center | 5537 S Williamson Blvd Ste 675, Port Orange, FL 32128-8314 | 2020-10-30 |
| 1609476027 | R & R Dentistry Pa | Clinic/Center | 6290 Linton Blvd Unit 202, Delray Beach, FL 33484-6409 | 2020-10-26 |
| 1295334126 | Friedman Dental Group Miami, Pllc | Clinic/Center | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 |
| 1376142547 | Trm Global Enterprise,llc. | Clinic/Center | 145 Crawl Key Ct, Deland, FL 32720-3951 | 2020-10-20 |
| 1568060762 | Bawany LLC | Clinic/Center | 15130 Springview St, Tampa, FL 33624-2332 | 2020-10-12 |
| 1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33463 |
Please comment or provide details below to improve the information on TDC LANTANA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.