LAKESIDE SMILES, PLLC
NPI 1124417928
Dentist - General Practice in Fennville, MI

Q: What is Lakeside Smiles, PLLC's NPI number?

The NPI number for Lakeside Smiles, PLLC is 1124417928. It was assigned to this organization in the NPPES registry on January 16, 2015.

Q: What is Lakeside Smiles, PLLC's specialty?

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

Active since January 16, 2015

200 N MAPLE ST, FENNVILLE, MI 49408(269) 561-2904 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lakeside Smiles, Pllc NPPES

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

LAKESIDE SMILES, PLLC (NPI 1124417928) is a healthcare organization registered as a general practice in Fennville, Michigan and active in the NPI registry since January 2015. The organization lists Michael E Meyer, Member, as its authorized official.

NPPES Registry Identity

NPI1124417928

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLAKESIDE SMILES, PLLC

Location Address200 N MAPLE STFennville, MI 49408-8478

Mailing Address200 N Maple St, Po Box 506Fennville, MI 49408-8478 · (269) 561-2904

Phone(269) 561-2904

Organization SubpartNo

Authorized OfficialMichael E MeyerMember · (269) 561-2904

Enumeration DateJanuary 16, 2015

✔ NPI 1124417928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 13870

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.

200 N MAPLE ST, Fennville, MI 49408

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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

Other Providers at the Same Location NPPES 3

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

DR. THOMAS HAROLD CASSELL DDS

Dentist (General Practice)

200 N MAPLE ST
FENNVILLE, MI 49408

Allegan County (269) 561-2904

KATELIN ELIZABETH DEKKER NP

Nurse Practitioner (Family)

200 N MAPLE ST
FENNVILLE, MI 49408

Allegan County (269) 561-8761

ASCENSION BORGESS ALLEGAN HOSPITAL

Clinic/Center (Rural Health)

200 N MAPLE ST
FENNVILLE, MI 49408

Allegan County (269) 561-8761

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 Lakeside Smiles, PLLC's NPI number?

The NPI number for Lakeside Smiles, PLLC is 1124417928. It was assigned to this organization in the NPPES registry on January 16, 2015.

Where is Lakeside Smiles, PLLC located?

Lakeside Smiles, PLLC is located at 200 N Maple St, Fennville, MI 49408. The listed phone number is (269) 561-2904.

What is Lakeside Smiles, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lakeside Smiles, PLLC was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.