OrganizationActive
Lakeside Family & Cosmetic Dentistry, LLC
NPI 1740986256 · General Practice Dentistry · Tualatin, OR
Provider details
- NPI number
- 1740986256
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jenny Garcia, Credentialing Sr Team Lead(972) 869-3789
Specialties & taxonomies
Dental Providers
Practice location
8225 Sw Tualatin Sherwood Rd
Tualatin, OR 97062-8441
Phone: (503) 692-9386
Fax: (503) 612-9437
Approximate (ZIP-level) locationGet directions
Mailing address
8225 Sw Tualatin Sherwood Rd
Tualatin, OR 97062-8441
Other names (DBA / former)
- Doing business as
- Lakeside Family Dentistry
Registry dates
- Enumerated
- 2023-02-06
- Last updated
- 2023-02-06
- Certified
- 2023-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.