Lakeside Dental is a Dentist in Little Elm, Texas. Lakeside Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lakeside Dental is 1558462689. The last update date is 2020-08-22.
Lakeside Dental's current location address is 407 W Eldorado Pkwy Ste 140, Little Elm, Texas. You can contact this provider via phone number 9722923092. The mailing address for Lakeside Dental is 407 W Eldorado Pkwy Ste 140, Little Elm, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Dental |
|---|---|
| Address | 407 W Eldorado Pkwy Ste 140, Little Elm, Texas |
| Phone Number | 9722923092 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Linavong Vanphaphone |
| Telephone Number | 9729293092 |
NPI Number Detail
| NPI Number | 1558462689 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 407 W Eldorado Pkwy Ste 140 |
|---|---|
| City | Little Elm |
| State | Texas (TX) |
| Post Code | 750685086 |
| Phone Number | 9722923092 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Lakeside Dental by the Centers for Medicare & Medicaid Services?
The Lakeside Dental has been assigned the NPI (National Provider Identifier) 1558462689 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lakeside Dental?
The Lakeside Dental is physically situated at 407 W Eldorado Pkwy Ste 140, in the city of Little Elm, state of TX, with the postal code 750685086.
What is Lakeside Dental's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lakeside Dental's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When was the Lakeside Dental's 1558462689 issued?
The Lakeside Dental's 1558462689 was issued on 2006-09-25.
When was the information pertaining to Lakeside Dental most recently updated or revised?
The details related to Lakeside Dental, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.