TOOTH BUDS AT LAGOON PARK, LLC
NPI 1114392107
Dentist - General Practice in Montgomery, AL

Q: What is Tooth Buds At Lagoon Park, LLC's NPI number?

The NPI number for Tooth Buds At Lagoon Park, LLC is 1114392107. It was assigned to this organization in the NPPES registry on December 2, 2015.

Q: What is Tooth Buds At Lagoon Park, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since December 02, 2015

553 N EASTERN BLVD, MONTGOMERY, AL 36117(334) 801-9800(334) 801-9848 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2016, Dec 2, 2015 (2 updates tracked since 2015).

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About Tooth Buds At Lagoon Park, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOOTH BUDS AT LAGOON PARK, LLC (NPI 1114392107) is a healthcare organization registered as a general practice in Montgomery, Alabama and active in the NPI registry since December 2015. The organization lists J. David Stanley, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1114392107

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameTOOTH BUDS AT LAGOON PARK, LLC

Location Address553 N EASTERN BLVDMontgomery, AL 36117-2213

Mailing Address553 N Eastern BlvdMontgomery, AL 36117-2213 · (334) 801-9800 · Fax (334) 801-9848

Phone(334) 801-9800

Fax(334) 801-9848

Organization SubpartNo

Authorized OfficialJ. David StanleyMember/owner · (334) 801-9800

Enumeration DateDecember 2, 2015

Last NPPES UpdateFebruary 17, 20162 updates tracked since enumeration

✔ NPI 1114392107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AL · 5221

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

553 N EASTERN BLVD, Montgomery, AL 36117

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tooth Buds At Lagoon Park, LLC's NPI number?

The NPI number for Tooth Buds At Lagoon Park, LLC is 1114392107. It was assigned to this organization in the NPPES registry on December 2, 2015.

Where is Tooth Buds At Lagoon Park, LLC located?

Tooth Buds At Lagoon Park, LLC is located at 553 N Eastern Blvd, Montgomery, AL 36117. The listed phone number is (334) 801-9800.

What is Tooth Buds At Lagoon Park, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tooth Buds At Lagoon Park, LLC was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.