Provider Demographics
NPI:1275622243
Name:SLAUGHTER, LANFORD TORRENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LANFORD
Middle Name:TORRENCE
Last Name:SLAUGHTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 S.E.16TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-732-3434
Mailing Address - Fax:352-732-8616
Practice Address - Street 1:44 SE 16TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2521
Practice Address - Country:US
Practice Address - Phone:352-732-3434
Practice Address - Fax:352-732-8616
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL53311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice