LECOM SCHOOL OF DENTAL MEDICINE
NPI 1912258872
Dentist - General Practice in Bradenton, FL

Q: What is Lake Erie College Of Osteopathic Medicine's specialty?

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

Active since October 01, 2012

4800 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211(941) 405-1507(941) 405-1675 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Lecom School Of Dental Medicine NPPES

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

LECOM SCHOOL OF DENTAL MEDICINE (NPI 1912258872) is a healthcare organization registered as a general practice in Bradenton, Florida and active in the NPI registry since October 2012. The organization lists Steven Gregory Inman, Vp Fiscal Affairs/cfo, as its authorized official.

NPPES Registry Identity

NPI1912258872

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE

Location Address4800 LAKEWOOD RANCH BLVDBradenton, FL 34211-4953

Mailing Address4800 Lakewood Ranch BlvdBradenton, FL 34211-4953 · (941) 405-1507 · Fax (941) 405-1675

Phone(941) 405-1507

Fax(941) 405-1675

Organization SubpartYes

Authorized OfficialSteven Gregory InmanVp Fiscal Affairs/cfo · (814) 868-8258

Enumeration DateOctober 1, 2012

Last NPPES UpdateMay 24, 2023

NPPES CertifiedMay 24, 2023

✔ NPI 1912258872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

4800 LAKEWOOD RANCH BLVD, Bradenton, FL 34211

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Other Names 1

Doing Business AsLecom School Of Dental Medicine

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAMERON BARRETT DMD

Student in an Organized Health Care Education/Training Program