LAKESIDE FAMILY DENTISTRY AND TMJ, PC
NPI 1396825667
Dentist - General Practice in Columbus, GA

Active since October 17, 2006
7270 N LAKE DR STE 100, COLUMBUS, GA 31909(706) 323-6491(706) 323-2671 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Aug 21, 2024, Aug 22, 2020 (3 updates tracked since 2020).

About Lakeside Family Dentistry And Tmj, Pc NPPES

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

LAKESIDE FAMILY DENTISTRY AND TMJ, PC (NPI 1396825667) is a healthcare organization registered as a general practice in Columbus, Georgia and active in the NPI registry since October 2006. The organization lists Phillip Shelby Tully, President, as its authorized official.

NPPES Registry Identity

NPI1396825667
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKESIDE FAMILY DENTISTRY AND TMJ, PC
Location Address7270 N LAKE DR STE 100Columbus, GA 31909-2764
Mailing Address7270 N Lake Dr Ste 100Columbus, GA 31909-2764 · (706) 323-6491 · Fax (706) 323-2671
Fax(706) 323-2671
Organization SubpartNo
Authorized OfficialPhillip Shelby TullyPresident · (706) 323-6491
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1396825667 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.
7270 N LAKE DR STE 100, Columbus, GA 31909

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

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 (General Practice)
7270 N LAKE DR STE 100
COLUMBUS, GA 31909

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 Family Dentistry And Tmj, PC's NPI number?

The NPI number for Lakeside Family Dentistry And Tmj, PC is 1396825667. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Lakeside Family Dentistry And Tmj, PC located?

Lakeside Family Dentistry And Tmj, PC is located at 7270 N Lake Dr Ste 100, Columbus, GA 31909. The listed phone number is (706) 323-6491.

What is Lakeside Family Dentistry And Tmj, PC's specialty?

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

What insurance does Lakeside Family Dentistry And Tmj, PC accept?

Health plans from UnitedHealthcare list Lakeside Family Dentistry And Tmj, PC 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 Lakeside Family Dentistry And Tmj, PC was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.