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

Lakeside Family Dentistry and Tmj, PC

Organization General Practice Dentistry · NPI 1396825667

Lakeside Family Dentistry and Tmj, PC is a General Practice Dentistry in Columbus, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7270 N Lake Dr Ste 100
Columbus, GA 31909-2764
Phone: (706) 323-6491
Fax: (706) 323-2671
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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 number1396825667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Tully — President · (706) 323-6491
NPI enumeratedOctober 17, 2006
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address7270 N Lake Dr Ste 100, Columbus, GA 31909-2764

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