LAKESIDE FAMILY DENTISTRY, PLLC
NPI 1659860393
Dentist - General Practice in Oklahoma City, OK

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

The NPI number for Lakeside Family Dentistry, PLLC is 1659860393. It was assigned to this organization in the NPPES registry on May 8, 2018.

Q: What is Lakeside Family Dentistry, PLLC's specialty?

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

Active since May 08, 2018

2812 W HEFNER RD, OKLAHOMA CITY, OK 73120(405) 751-0358 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lakeside Family Dentistry, Pllc NPPES

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

LAKESIDE FAMILY DENTISTRY, PLLC (NPI 1659860393) is a healthcare organization registered as a general practice in Oklahoma City, Oklahoma and active in the NPI registry since May 2018. The organization lists Kristen Johnson, Business Advisor, as its authorized official.

NPPES Registry Identity

NPI1659860393

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLAKESIDE FAMILY DENTISTRY, PLLC

Location Address2812 W HEFNER RDOklahoma City, OK 73120-6318

Mailing Address2812 W Hefner RdOklahoma City, OK 73120-6318 · (405) 751-0358

Phone(405) 751-0358

Organization SubpartNo

Authorized OfficialKristen JohnsonBusiness Advisor · (877) 221-7750

Enumeration DateMay 8, 2018

✔ NPI 1659860393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 6796

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.

2812 W HEFNER RD, Oklahoma City, OK 73120

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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 2

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

TRACI LEON DDS

Dentist (General Practice)

2812 W HEFNER RD
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 751-0358

HEFNER ROAD FAMILY DENTAL CENTER

Dentist (General Practice)

2812 W HEFNER RD
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 751-0358

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, PLLC's NPI number?

The NPI number for Lakeside Family Dentistry, PLLC is 1659860393. It was assigned to this organization in the NPPES registry on May 8, 2018.

Where is Lakeside Family Dentistry, PLLC located?

Lakeside Family Dentistry, PLLC is located at 2812 W Hefner Rd, Oklahoma City, OK 73120. The listed phone number is (405) 751-0358.

What is Lakeside Family Dentistry, 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 Family Dentistry, PLLC was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.