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LAKESIDE FAMILY DENTISTRY LLC NPI 1346680725


NPI Information

NPI: 1346680725
Provider Name: LAKESIDE FAMILY DENTISTRY, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4371 HIGHWAY 24
ANDERSON, SC
ZIP 29626
Phone: (864) 305-1402
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LAKESIDE FAMILY DENTISTRY, LLC is a dental clinic center in Anderson, SC. LAKESIDE FAMILY DENTISTRY, LLC NPI is 1346680725. The provider is registered as an organization entity type.

The provider's business location address is:

4371 HIGHWAY 24
ANDERSON, SC
ZIP 29626-214
Phone: (864) 305-1402

The provider's authorized official is Thomas Miller .
The authorized official title is Owner and has the following contact phone number (864) 305-1402.

The enumeration date for this NPI number is 6/28/2013 and was last updated on 6/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental4489SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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