OrganizationActive
Lakeside Pediatric Dental Specialists
NPI 1891194379 · Pediatric Dentistry · Port Huron, MI
Lakeside Pediatric Dental Specialists is a Pediatric Dentistry organization in Port Huron, MI (NPI 1891194379).
Provider details
- NPI number
- 1891194379
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Phillip Monroy, Owner(810) 985-9660
- License
- 2901018671 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1952 Holland Ave
Port Huron, MI 48060-1520
Phone: (810) 985-9660
Fax: (810) 985-9666
Street-level locationGet directions
Mailing address
1952 Holland Ave
Port Huron, MI 48060-1520
Registry dates
- Enumerated
- 2014-08-20
- Last updated
- 2014-08-20
Frequently asked questions
- What is Lakeside Pediatric Dental Specialists's NPI number?
- Lakeside Pediatric Dental Specialists's National Provider Identifier (NPI) is 1891194379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Pediatric Dental Specialists?
- Lakeside Pediatric Dental Specialists is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Lakeside Pediatric Dental Specialists located?
- Lakeside Pediatric Dental Specialists's practice location on file with NPPES is 1952 Holland Ave, Port Huron, MI 48060-1520.
- What is Lakeside Pediatric Dental Specialists's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Pediatric Dental Specialists is (810) 985-9660.
- Who is the authorized official for Lakeside Pediatric Dental Specialists?
- The authorized official listed on Lakeside Pediatric Dental Specialists's NPPES record is Phillip Monroy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Pediatric Dental Specialists's NPI active?
- Yes — Lakeside Pediatric Dental Specialists's NPI (1891194379) is active in the NPPES registry as of the last update on 2014-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.