TDC LANTANA LLC – NPI #1346764123
Clinic/Center

TDC LANTANA LLC is an AHC clinic located in LAKE WORTH, FL. NPPES has assigned the NPI number 1346764123 to TDC LANTANA LLC on August 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TDC LANTANA LLC below.

NPI Profile for
TDC LANTANA LLC

NPI Number
1346764123
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TDC LANTANA LLC
Primary location
6346 LANTANA RD SUITE 68
LAKE WORTH, FL 33463
Phone: (561) 439-5100 Fax: (561) 439-5100
Mailing address
6346 LANTANA RD STE 68
LAKE WORTH, FL 33463-6664
Phone: (561) 439-5100 Fax: (561) 439-5100
Organization Subpart
No
Authorized Official
JORDAN TOMALTY
OWNER/DENTIST
Phone: (561) 777-8980
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.