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

Lakeside Pediatric Dentistry, LLC

Organization Pediatric Dentistry · NPI 1174064539

Lakeside Pediatric Dentistry, LLC is a Pediatric Dentistry in Greensboro, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
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

1050 Parkside Cmns Ste 103
Greensboro, GA 30642-4524
Phone: (706) 454-2222
Fax: (706) 454-1234
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN012737 (GA)

Record details

NPI number1174064539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Locher — Office Manager · (478) 743-0901
NPI enumeratedMarch 17, 2017
Last updated in NPPESMarch 17, 2017
Mailing address1050 Parkside Cmns, Suite 103, Greensboro, GA 30642-4524

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