Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside DC LLC

Organization General Practice Dentistry · NPI 1134001266

Lakeside DC LLC is a General Practice Dentistry in Greensboro, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4309 Brinton Dr Ste 103
Greensboro, NC 27410-9302
Phone: (361) 815-9929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1134001266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Bacon — Doctor/Owner · (361) 815-9929
Other names Lakeside Dental
NPI enumeratedJuly 21, 2025
Last updated in NPPESJuly 27, 2025
Certification dateJuly 27, 2025
Mailing address817 Bass Landing Pl, Greensboro, NC 27455-3440

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