Lakeside Dental Surgery Center LLC
NPI 1598483414 · Ambulatory Surgical Clinic/Center · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Dental Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Jacksonville, FL (NPI 1598483414).
Provider details
- NPI number
- 1598483414
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Weaver, Practice Administrator(904) 395-7772
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Frequently asked questions
- What is Lakeside Dental Surgery Center LLC's NPI number?
- Lakeside Dental Surgery Center LLC's National Provider Identifier (NPI) is 1598483414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Dental Surgery Center LLC?
- Lakeside Dental Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Dental Surgery Center LLC located?
- Lakeside Dental Surgery Center LLC's practice location on file with NPPES is 9143 Philips Hwy Ste 515, Jacksonville, FL 32256-1348.
- What is Lakeside Dental Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Dental Surgery Center LLC is (904) 395-7772.
- Does Lakeside Dental Surgery Center LLC accept Medicare?
- Lakeside Dental Surgery Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Dental Surgery Center LLC?
- The authorized official listed on Lakeside Dental Surgery Center LLC's NPPES record is Andrew Weaver, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Dental Surgery Center LLC's NPI active?
- Yes — Lakeside Dental Surgery Center LLC's NPI (1598483414) is active in the NPPES registry as of the last update on 2024-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.