OrganizationActive
Lakeside Pediatric Dentistry, LLC
NPI 1174064539 · Pediatric Dentistry · Greensboro, GA
Lakeside Pediatric Dentistry, LLC is a Pediatric Dentistry organization in Greensboro, GA (NPI 1174064539).
Provider details
- NPI number
- 1174064539
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tina Locher, Office Manager(478) 743-0901
- License
- DN012737 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1050 Parkside Cmns
Suite 103
Greensboro, GA 30642-4524
Phone: (706) 454-2222
Fax: (706) 454-1234
Street-level locationGet directions
Mailing address
1050 Parkside Cmns
Greensboro, GA 30642-4524
Registry dates
- Enumerated
- 2017-03-17
- Last updated
- 2017-03-17
Frequently asked questions
- What is Lakeside Pediatric Dentistry, LLC's NPI number?
- Lakeside Pediatric Dentistry, LLC's National Provider Identifier (NPI) is 1174064539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Pediatric Dentistry, LLC?
- Lakeside Pediatric Dentistry, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Lakeside Pediatric Dentistry, LLC located?
- Lakeside Pediatric Dentistry, LLC's practice location on file with NPPES is 1050 Parkside Cmns, Greensboro, GA 30642-4524.
- What is Lakeside Pediatric Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Pediatric Dentistry, LLC is (706) 454-2222.
- Who is the authorized official for Lakeside Pediatric Dentistry, LLC?
- The authorized official listed on Lakeside Pediatric Dentistry, LLC's NPPES record is Tina Locher, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Pediatric Dentistry, LLC's NPI active?
- Yes — Lakeside Pediatric Dentistry, LLC's NPI (1174064539) is active in the NPPES registry as of the last update on 2017-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.