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LAKESHORE DENTAL INC.
NPI 1255832549
Dentist - General Practice in Fort Mill, SC

Active since February 22, 2018
1200 GOLD HILL ROAD, FORT MILL, SC 29708(803) 396-0000(803) 396-0001 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 1, 2021, Feb 22, 2018 (2 updates tracked since 2018).

About Lakeshore Dental Inc. NPPES

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

LAKESHORE DENTAL INC. (NPI 1255832549) is a healthcare organization registered as a general practice in Fort Mill, South Carolina and active in the NPI registry since February 2018. The organization lists Jeff Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1255832549
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKESHORE DENTAL INC.
Location Address1200 GOLD HILL ROADFort Mill, SC 29708
Mailing Address1200 Gold Hill RoadFort Mill, SC 29715
Phone(803) 396-0000
Fax(803) 396-0001
Organization SubpartNo
Authorized OfficialJeff CohenCoo · (704) 246-8971
Enumeration DateFebruary 22, 2018
Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1255832549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1200 GOLD HILL ROAD, Fort Mill, SC 29708
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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 Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

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 Lakeshore Dental Inc.'s NPI number?

The NPI number for Lakeshore Dental Inc. is 1255832549. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Lakeshore Dental Inc. located?

Lakeshore Dental Inc. is located at 1200 Gold Hill Road, Fort Mill, SC 29708. The listed phone number is (803) 396-0000.

What is Lakeshore Dental Inc.'s specialty?

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

What insurance does Lakeshore Dental Inc. accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Lakeshore Dental Inc. 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 Lakeshore Dental Inc. was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.