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

Lakeside Pediatric Dental Specialists

Organization Pediatric Dentistry · NPI 1891194379

Lakeside Pediatric Dental Specialists is a Pediatric Dentistry in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

1952 Holland Ave
Port Huron, MI 48060-1520
Phone: (810) 985-9660
Fax: (810) 985-9666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901018671 (MI)

Record details

NPI number1891194379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Monroy — Owner · (810) 985-9660
NPI enumeratedAugust 20, 2014
Last updated in NPPESAugust 20, 2014
Mailing address1952 Holland Ave, Port Huron, MI 48060-1520

Other providers in Port Huron