LAKESHORE MALL DENTAL GROUP
NPI 1346389814
Dentist - General Practice in Gainesville, GA

Q: What is Lakeshore Mall Dental Group's NPI number?

The NPI number for Lakeshore Mall Dental Group is 1346389814. It was assigned to this organization in the NPPES registry on February 5, 2007.

Q: What is Lakeshore Mall Dental Group's specialty?

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

Active since February 05, 2007

150 PEARL NIX PKWY, SUITE B10, GAINESVILLE, GA 30501(770) 536-1957(770) 536-3582 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lakeshore Mall Dental Group NPPES

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

LAKESHORE MALL DENTAL GROUP (NPI 1346389814) is a healthcare organization registered as a general practice in Gainesville, Georgia and active in the NPI registry since February 2007. The organization lists Theresa Chatham, Dist Manager, as its authorized official.

NPPES Registry Identity

NPI1346389814

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLAKESHORE MALL DENTAL GROUP

Location Address150 PEARL NIX PKWY, SUITE B10Gainesville, GA 30501-3548

Mailing Address150 Pearl Nix Pkwy, Suite B10Gainesville, GA 30501-3548 · (770) 536-1957 · Fax (770) 536-3582

Phone(770) 536-1957

Fax(770) 536-3582

Organization SubpartNo

Authorized OfficialTheresa ChathamDist Manager · (770) 536-1957

Enumeration DateFebruary 5, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1346389814 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.

150 PEARL NIX PKWY, Gainesville, GA 30501

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

LUXOTTICA RETAIL NORTH AMERICA INC

Eyewear Supplier

150 PEARL NIX PKWY, LAKESHORE MALL
GAINESVILLE, GA 30501

Hall County (770) 531-2232

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 Mall Dental Group's NPI number?

The NPI number for Lakeshore Mall Dental Group is 1346389814. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Lakeshore Mall Dental Group located?

Lakeshore Mall Dental Group is located at 150 Pearl Nix Pkwy Suite B10, Gainesville, GA 30501. The listed phone number is (770) 536-1957.

What is Lakeshore Mall Dental Group'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 Lakeshore Mall Dental Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.