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Contact Information

LAKESHORE FAMILY DENTISTRY INC
435 ROBERT BOULEVARD
SLIDELL, LA70458
 Phone: 985-643-1852
 Fax: 985-643-1845
 Website: http://www.lakeshorefamilydentistry.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LAKESHORE FAMILY DENTISTRY INC · (Female)

NPI Number 1083783419
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 5503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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