OrganizationActive
Lakeside Smiles, PLLC
NPI 1124417928 · General Practice Dentistry · Fennville, MI
Lakeside Smiles, PLLC is a General Practice Dentistry organization in Fennville, MI (NPI 1124417928).
Provider details
- NPI number
- 1124417928
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Meyer, Member(269) 561-2904
- License
- 13870 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
200 N Maple St
Fennville, MI 49408-8478
Phone: (269) 561-2904
Street-level locationGet directions
Mailing address
200 N Maple St
Fennville, MI 49408-8478
Registry dates
- Enumerated
- 2015-01-16
- Last updated
- 2015-01-16
Frequently asked questions
- What is Lakeside Smiles, PLLC's NPI number?
- Lakeside Smiles, PLLC's National Provider Identifier (NPI) is 1124417928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Smiles, PLLC?
- Lakeside Smiles, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lakeside Smiles, PLLC located?
- Lakeside Smiles, PLLC's practice location on file with NPPES is 200 N Maple St, Fennville, MI 49408-8478.
- What is Lakeside Smiles, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Smiles, PLLC is (269) 561-2904.
- Who is the authorized official for Lakeside Smiles, PLLC?
- The authorized official listed on Lakeside Smiles, PLLC's NPPES record is Michael Meyer, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Smiles, PLLC's NPI active?
- Yes — Lakeside Smiles, PLLC's NPI (1124417928) is active in the NPPES registry as of the last update on 2015-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.