OrganizationActive
Lakeshore Mall Dental Group
NPI 1346389814 · General Practice Dentistry · Gainesville, GA
Lakeshore Mall Dental Group is a General Practice Dentistry organization in Gainesville, GA (NPI 1346389814).
Provider details
- NPI number
- 1346389814
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Theresa Chatham, Dist Manager(770) 536-1957
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
150 Pearl Nix Pkwy
Suite B10
Gainesville, GA 30501-3548
Phone: (770) 536-1957
Fax: (770) 536-3582
Street-level locationGet directions
Mailing address
150 Pearl Nix Pkwy
Gainesville, GA 30501-3548
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lakeshore Mall Dental Group's NPI number?
- Lakeshore Mall Dental Group's National Provider Identifier (NPI) is 1346389814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Mall Dental Group?
- Lakeshore Mall Dental Group is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lakeshore Mall Dental Group located?
- Lakeshore Mall Dental Group's practice location on file with NPPES is 150 Pearl Nix Pkwy, Gainesville, GA 30501-3548.
- What is Lakeshore Mall Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Mall Dental Group is (770) 536-1957.
- Who is the authorized official for Lakeshore Mall Dental Group?
- The authorized official listed on Lakeshore Mall Dental Group's NPPES record is Theresa Chatham, Dist Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Mall Dental Group's NPI active?
- Yes — Lakeshore Mall Dental Group's NPI (1346389814) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.