OrganizationActive
Lakeside DC LLC
NPI 1134001266 · General Practice Dentistry · Greensboro, NC
Lakeside DC LLC is a General Practice Dentistry organization in Greensboro, NC (NPI 1134001266).
Provider details
- NPI number
- 1134001266
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Benjamin Bacon, Doctor/Owner(361) 815-9929
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4309 Brinton Dr Ste 103
Greensboro, NC 27410-9302
Phone: (361) 815-9929
Street-level locationGet directions
Mailing address
817 Bass Landing Pl
Greensboro, NC 27455-3440
Other names (DBA / former)
- Doing business as
- Lakeside Dental
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-07-27
- Certified
- 2025-07-27
Frequently asked questions
- What is Lakeside DC LLC's NPI number?
- Lakeside DC LLC's National Provider Identifier (NPI) is 1134001266, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside DC LLC?
- Lakeside DC LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lakeside DC LLC located?
- Lakeside DC LLC's practice location on file with NPPES is 4309 Brinton Dr Ste 103, Greensboro, NC 27410-9302.
- What is Lakeside DC LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside DC LLC is (361) 815-9929.
- Who is the authorized official for Lakeside DC LLC?
- The authorized official listed on Lakeside DC LLC's NPPES record is Benjamin Bacon, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside DC LLC's NPI active?
- Yes — Lakeside DC LLC's NPI (1134001266) is active in the NPPES registry as of the last update on 2025-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.