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Contact Information

LAKESIDE DENTAL LLC
15775 HIGHWAY 16 E
SHIRLEY, AR72153
 Phone: 501-723-8113
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LAKESIDE DENTAL LLC

NPI # 1003268608
LBN Legal business name LAKESIDE DENTAL LLC
Authorized official LARHONDA APATA - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2016
Last updated 07/07/2016 - About 10 years ago
Identifiers
AR License # 4091
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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