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LAKESIDE FAMILY & COSMETIC DENTISTRY, LLC
NPI 1740986256
Dentist - General Practice in Tualatin, OR

Active since February 06, 2023
8225 SW TUALATIN SHERWOOD RD, TUALATIN, OR 97062(503) 692-9386(503) 612-9437 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Family & Cosmetic Dentistry, Llc NPPES

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

LAKESIDE FAMILY & COSMETIC DENTISTRY, LLC (NPI 1740986256), doing business as Lakeside Family Dentistry, is a healthcare organization registered as a general practice in Tualatin, Oregon and active in the NPI registry since February 2023. The organization lists Jenny Garcia, Credentialing Sr Team Lead, as its authorized official.

NPPES Registry Identity

NPI1740986256
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKESIDE FAMILY & COSMETIC DENTISTRY, LLC
Location Address8225 SW TUALATIN SHERWOOD RDTualatin, OR 97062-8441
Mailing Address8225 Sw Tualatin Sherwood RdTualatin, OR 97062-8441 · (503) 692-9386 · Fax (503) 612-9437
Phone(503) 692-9386
Fax(503) 612-9437
Organization SubpartNo
Authorized OfficialJenny GarciaCredentialing Sr Team Lead · (972) 869-3789
Enumeration DateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
✔ NPI 1740986256 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.
8225 SW TUALATIN SHERWOOD RD, Tualatin, OR 97062
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Other Names 1

Doing Business AsLakeside Family Dentistry

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 3

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

DR. TRAVIS R EVANS D.M.D
Dentist (General Practice)
8225 SW TUALATIN SHERWOOD RD
TUALATIN, OR 97062
Washington County (503) 692-9386
AMANDA M. GALLEGOS D.M.D.
Dentist
8225 SW TUALATIN SHERWOOD RD
TUALATIN, OR 97062
Washington County (503) 692-9386
RICK A EVANS DDS
Dentist (General Practice)
8225 SW TUALATIN SHERWOOD RD
TUALATIN, OR 97062
Washington County (503) 692-9386

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 & Cosmetic Dentistry, LLC's NPI number?

The NPI number for Lakeside Family & Cosmetic Dentistry, LLC is 1740986256. It was assigned to this organization in the NPPES registry on February 6, 2023. The provider is doing business as Lakeside Family Dentistry.

Where is Lakeside Family & Cosmetic Dentistry, LLC located?

Lakeside Family & Cosmetic Dentistry, LLC is located at 8225 SW Tualatin Sherwood Rd, Tualatin, OR 97062. The listed phone number is (503) 692-9386.

What is Lakeside Family & Cosmetic Dentistry, LLC'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 & Cosmetic Dentistry, LLC was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.