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TOWNE LAKE DENTAL GROUP, LLC
NPI 1053696781
Dentist - General Practice in Pooler, GA

Active since October 13, 2011
125 SOUTHERN JUNCTION BLVD, SUITE 701, POOLER, GA 31322(912) 330-4545 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Towne Lake Dental Group, Llc NPPES

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

TOWNE LAKE DENTAL GROUP, LLC (NPI 1053696781) is a healthcare organization registered as a general practice in Pooler, Georgia and active in the NPI registry since October 2011. The organization lists Brian Beaudreau, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1053696781
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTOWNE LAKE DENTAL GROUP, LLC
Location Address125 SOUTHERN JUNCTION BLVD, SUITE 701Pooler, GA 31322-2214
Mailing Address125 Southern Junction Blvd, Suite 701Pooler, GA 31322-2214 · (912) 330-4545
Phone(912) 330-4545
Organization SubpartNo
Authorized OfficialBrian BeaudreauOwner/dentist · (912) 330-4545
Enumeration DateOctober 13, 2011
✔ NPI 1053696781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 09617
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
125 SOUTHERN JUNCTION BLVD, Pooler, GA 31322
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

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

HEATHER FINN
Physical Therapy Assistant
125 SOUTHERN JUNCTION BLVD
POOLER, GA 31322
Chatham County (254) 423-6046
COLIN TRESTER STRUB D.D.S.
Dentist (General Practice)
125 SOUTHERN JUNCTION BLVD, SUITE 701
POOLER, GA 31322
Chatham County (912) 330-4545
CHRISTINA MACROPOULOS BERRY PT, DPT
Physical Therapist
125 SOUTHERN JUNCTION BLVD
POOLER, GA 31322
Chatham County (912) 348-8350
MRS. SHANNON LEIGH JERNIGAN OTR/L
Occupational Therapist
125 SOUTHERN JUNCTION BLVD
POOLER, GA 31322
Chatham County (912) 348-1910
DEBBIE CAMPOLO P.T.
Physical Therapist
125 SOUTHERN JUNCTION BLVD
POOLER, GA 31322
Chatham County (267) 326-7389

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Towne Lake Dental Group, LLC's NPI number?

The NPI number for Towne Lake Dental Group, LLC is 1053696781. It was assigned to this organization in the NPPES registry on October 13, 2011.

Where is Towne Lake Dental Group, LLC located?

Towne Lake Dental Group, LLC is located at 125 Southern Junction Blvd Suite 701, Pooler, GA 31322. The listed phone number is (912) 330-4545.

What is Towne Lake Dental Group, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Towne Lake Dental Group, LLC accept?

Health plans from UnitedHealthcare list Towne Lake Dental Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Towne Lake Dental Group, LLC was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.