1174064539 NPI number — LAKESIDE PEDIATRIC DENTISTRY, LLC

Table of content: (NPI 1174064539)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174064539 NPI number — LAKESIDE PEDIATRIC DENTISTRY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAKESIDE PEDIATRIC DENTISTRY, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174064539
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1050 PARKSIDE CMNS
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
GREENSBORO
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30642-4524
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-454-2222
Provider Business Mailing Address Fax Number:
706-454-1234

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 PARKSIDE CMNS
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30642-4524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-454-2222
Provider Business Practice Location Address Fax Number:
706-454-1234
Provider Enumeration Date:
03/17/2017

Additional Information

Authorized Official

Authorized Official Last Name:
LOCHER
Authorized Official First Name:
TINA
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
478-743-0901

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  DN012737 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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