OrganizationActive
Towne Lake Dental Group, LLC
NPI 1053696781 · General Practice Dentistry · Pooler, GA
Towne Lake Dental Group, LLC is a General Practice Dentistry organization in Pooler, GA (NPI 1053696781).
Provider details
- NPI number
- 1053696781
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brian Beaudreau, Owner/Dentist(912) 330-4545
- License
- 09617 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
125 Southern Junction Blvd
Suite 701
Pooler, GA 31322-2214
Phone: (912) 330-4545
Street-level locationGet directions
Mailing address
125 Southern Junction Blvd
Pooler, GA 31322-2214
Registry dates
- Enumerated
- 2011-10-13
- Last updated
- 2011-10-13
Frequently asked questions
- What is Towne Lake Dental Group, LLC's NPI number?
- Towne Lake Dental Group, LLC's National Provider Identifier (NPI) is 1053696781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Towne Lake Dental Group, LLC?
- Towne Lake Dental Group, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Towne Lake Dental Group, LLC located?
- Towne Lake Dental Group, LLC's practice location on file with NPPES is 125 Southern Junction Blvd, Pooler, GA 31322-2214.
- What is Towne Lake Dental Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Towne Lake Dental Group, LLC is (912) 330-4545.
- Who is the authorized official for Towne Lake Dental Group, LLC?
- The authorized official listed on Towne Lake Dental Group, LLC's NPPES record is Brian Beaudreau, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Towne Lake Dental Group, LLC's NPI active?
- Yes — Towne Lake Dental Group, LLC's NPI (1053696781) is active in the NPPES registry as of the last update on 2011-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.