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Lakeside Pediatric Dentistry, Llc
Pediatric Dentist in Greensboro, Georgia
NPI 1174064539

Lakeside Pediatric Dentistry, Llc is a Pediatric Dentist based in Greensboro, GA and is specialized in Pediatric Dentistry. Lakeside Pediatric Dentistry, Llc practices in Greensboro, GA. The NPI Number for Lakeside Pediatric Dentistry, Llc is 1174064539 and holds a License No. DN012737 (Georgia).

The current practice location address for Lakeside Pediatric Dentistry, Llc is 1050 Parkside Cmns, Greensboro, GA and can be reached out via phone at 706-454-2222 and via fax at 706-454-1234.

Location: 1050 Parkside Cmns, Greensboro, GA, 30642-4524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174064539
Provider Name
Lakeside Pediatric Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
1050 Parkside Cmns, Greensboro, GA, 30642-4524
Phone Number
706-454-2222
Fax Number
706-454-1234
Provider Enumeration Date
03/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1050 Parkside Cmns
City
Greensboro
State
Georgia
Zip
30642-4524
Phone Number
706-454-2222
Fax Number
706-454-1234
person
Provider Business Mailing Address Details
Address
1050 Parkside Cmns
City
Greensboro
State
Georgia
Zip
30642-4524
Phone Number
706-454-2222
Fax Number
706-454-1234
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN012737 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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