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LAKESIDE DENTAL
NPI 1447407739
Dentist - General Practice in Moses Lake, WA

Active since August 19, 2008
1708 SOUTH CLOVER DRIVE, MOSES LAKE, WA 98837(509) 764-0307(509) 764-0886 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lakeside Dental NPPES

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

LAKESIDE DENTAL (NPI 1447407739) is a healthcare organization registered as a general practice in Moses Lake, Washington and active in the NPI registry since August 2008. The organization lists Lori Munson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447407739
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKESIDE DENTAL
Location Address1708 SOUTH CLOVER DRIVEMoses Lake, WA 98837
Mailing Address1708 South Clover DriveMoses Lake, WA 98837 · (509) 764-0307 · Fax (509) 764-0886
Phone(509) 764-0307
Fax(509) 764-0886
Organization SubpartNo
Authorized OfficialLori MunsonOffice Manager · (509) 764-0307
Enumeration DateAugust 19, 2008
✔ NPI 1447407739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WA · DE00010850✔ Licensed in WA · DE60028802
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.
1708 SOUTH CLOVER DRIVE, Moses Lake, WA 98837
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Other Identifiers 1

Medicaid5056627WA

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Dental's NPI number?

The NPI number for Lakeside Dental is 1447407739. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Lakeside Dental located?

Lakeside Dental is located at 1708 South Clover Drive, Moses Lake, WA 98837. The listed phone number is (509) 764-0307.

What is Lakeside Dental'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 Dental was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.