KHONDOKER AND ASSOCIATES PLLC
NPI 1033980495
Clinic/Center - Dental in Cornelius, NC

Active since January 12, 2024
19911 ZION AVE STE D4, CORNELIUS, NC 28031(704) 887-2744(929) 600-9712 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 9, 2025, Sep 2, 2024, Jun 21, 2024 (3 updates tracked since 2024).

About Khondoker And Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHONDOKER AND ASSOCIATES PLLC (NPI 1033980495), doing business as Lakehouse Dental, is a healthcare organization registered as a dental in Cornelius, North Carolina and active in the NPI registry since January 2024. The organization lists Muhammad Khondoker, Manager, as its authorized official.

NPPES Registry Identity

NPI1033980495
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKHONDOKER AND ASSOCIATES PLLC
Location Address19911 ZION AVE STE D4Cornelius, NC 28031-8877
Mailing Address19911 Zion Ave Ste D4Cornelius, NC 28031-8877 · (704) 887-2744 · Fax (929) 600-9712
Fax(929) 600-9712
Organization SubpartNo
Authorized OfficialMuhammad KhondokerManager · (704) 887-2744
Enumeration DateJanuary 12, 2024
Last NPPES UpdateFebruary 9, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2025
NPI 1033980495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X
19911 ZION AVE STE D4, Cornelius, NC 28031

Other Names 1

Doing Business AsLakehouse Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
19911 ZION AVE STE D4
CORNELIUS, NC 28031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033980495, enumerated as an "organization" on January 12, 2024.

The provider is located at 19911 ZION AVE STE D4 CORNELIUS, NC 28031 and the phone number is (704) 887-2744.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.