LISA V. THOMPSON, DDS, LLC (NPI# 1922249200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922249200 |
| Entity Type | Organization |
| Organization Name | LISA V. THOMPSON, DDS, LLC |
| Other Organization Name | LVT DENTAL CENTER |
| Practice Address |
1450 Mercantile Ln Suite 207a Largo MD 20774-5376 |
| Practice Telephone | 2044557484 |
| Practice Fax Number | 2404557476 |
| Mailing Telephone | 2044557484 |
| Mailing Fax Number | 2404557476 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | DR. LISA VALDENE THOMPSON (CEO, OWNER) |
| Authorized Official Telephone | 2404557484 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
13668 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LVT Dental Center | Doing Business As Name - Organization |
| Street Address |
1450 MERCANTILE LN SUITE 207A |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070261 | David A Gooray | Internal Medicine | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2005-08-19 |
| 1497287361 | Holistic Health & Wellness Medical Spa | Physical Therapist | 1450 Mercantile Ln, 221, Largo, MD 20774-5376 | 2017-03-30 |
| 1831640465 | Anne Arundel Physician Group LLC | Dietitian, Registered | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2016-10-19 |
| 1427505825 | Holistic Health and Wellness Medical Spa | Nurse Practitioner | 1450 Mercantile Ln, Suite 221, Largo, MD 20774-5376 | 2016-09-02 |
| 1972903201 | Heritage Pediatrics, Inc. | Pediatrics | 1450 Mercantile Ln, Suite #217, Largo, MD 20774-5376 | 2014-08-22 |
| 1316372931 | Anne Arundel Physician Group, LLC | Internal Medicine | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2013-09-13 |
| 1679821458 | Meetu Agrawal | Internal Medicine | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2012-08-27 |
| 1316232135 | Jatin R Matta | Physician Assistant | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2011-06-09 |
| 1750696779 | Susan E Jenkins, M.d.p.a. | Obstetrics & Gynecology | 1450 Mercantile Ln, Suite 117, Largo, MD 20774-5376 | 2010-08-13 |
| 1992998975 | East Coast Gastroenterology LLC | Pathology | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520535 | T & C Dental of Largo P. Corp | Clinic/Center | 11250 66th St Ste B, Largo, FL 33773-5510 | 2020-08-25 |
| 1548813876 | Rkm Orthodontics LLC | Clinic/Center | 1401 Mercantile Ln Ste 102, Largo, MD 20774-4306 | 2019-07-16 |
| 1699185298 | Kenneth Grundset Pa | Clinic/Center | 9634 107th Ave N, Largo, FL 33773-4503 | 2014-05-05 |
| 1922293034 | Yardee Dental | Clinic/Center | 1400 Mercantile Ln, Suite 224, Largo, MD 20774-5341 | 2007-09-11 |
| 1871677708 | Randall L Weisel, Dds, Pa | Clinic/Center | 3700 E Bay Dr, Largo, FL 33771-1935 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099782 | Michael Chang Dds PC | Clinic/Center | 16220 Frederick Rd Ste 315, Gaithersburg, MD 20877-4020 | 2020-09-24 |
| 1720694466 | Rouchon Dental | Clinic/Center | 3930 Knowles Ave Ste 302, Kensington, MD 20895-2428 | 2020-09-18 |
| 1013522184 | Niu Dentistry Towson LLC | Clinic/Center | 7801 York Rd Ste 307, Towson, MD 21204-7449 | 2020-09-15 |
| 1245844851 | Green Dentistry, LLC | Clinic/Center | 8611 2nd Ave Ste 201, Silver Spring, MD 20910-6349 | 2020-09-01 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1407474380 | Russell Park Dental Care, LLC | Clinic/Center | 963 Russell Ave Ste A, Gaithersburg, MD 20879-3287 | 2020-07-08 |
| 1992324750 | Richard L Rogers Dds Pa | Clinic/Center | 2100 Old Farm Dr Ste 1f, Frederick, MD 21702-9494 | 2020-04-13 |
| 1689206278 | Specialists In Orthodontics of Maryland 2, Pllc | Clinic/Center | 888 Bestgate Rd Ste 301, Annapolis, MD 21401-2955 | 2020-02-11 |
| 1730726449 | Sammy Noumbissi Dds Pa | Clinic/Center | 801 Wayne Ave Ste G200, Silver Spring, MD 20910-4450 | 2019-12-02 |
| 1811533839 | Dosh Dental, LLC | Clinic/Center | 3905 National Dr Ste 340, Burtonsville, MD 20866-6111 | 2019-11-25 |
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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.