DR. LAETITIA IFEYINWA SERY (NPI# 1740325232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740325232 |
| Entity Type | Individual |
| Full Name | DR. LAETITIA IFEYINWA SERY |
| Credential | D.D.S. |
| Practice Address |
1367 E Garrison Blvd Ste B Gastonia NC 28054-5144 |
| Practice Telephone | 7048600945 |
| Mailing Telephone | 7048600945 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 8474 | NC | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8474 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC STATE BOARD | 8474 | 01 |
| Street Address |
1367 E GARRISON BLVD STE B |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679004584 | Laetitia I. Sery, Dds, Pllc | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2017-03-22 |
| 1922438977 | Rdest Dds Pllc II | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2013-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191960 | Charles William Connor Jr. | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2006-07-07 |
| 1679004584 | Laetitia I. Sery, Dds, Pllc | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2017-03-22 |
| 1972920676 | Jessica Simon | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2014-03-20 |
| 1922438977 | Rdest Dds Pllc II | Dentist | 1367 E Garrison Blvd Ste B, Gastonia, NC 28054-5144 | 2013-11-12 |
| 1457637621 | White Smiles | Dentist | 3044 E Franklin Blvd, Suite 4, Gastonia, NC 28056-5400 | 2011-11-01 |
| 1982835831 | Jonathan R Kaczmarski | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-07-27 |
| 1922240969 | Ashley Blacktree | Dentist | 890 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2009-04-06 |
| 1801939699 | Pediatric Dentistry and Orthodontics | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2007-02-14 |
| 1700936069 | Rebecca Burack Gross | Dentist | 1146 N New Hope Rd, Gastonia, NC 28054-2959 | 2007-01-11 |
| 1255337150 | Kelly Rachelle Zukaitis | Dentist | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2005-06-24 |
| Find all providers in GASTONIA | ||||
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| 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.