LAKEVIEW DENTAL STUDIO
NPI 1871332841
Dentist - General Practice in Knoxville, TN

Active since May 21, 2024
5315 FOUNTAIN RD, KNOXVILLE, TN 37918(865) 687-6763 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeview Dental Studio NPPES

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

LAKEVIEW DENTAL STUDIO (NPI 1871332841) is a healthcare organization registered as a general practice in Knoxville, Tennessee and active in the NPI registry since May 2024. The organization lists Tylen Haderlie, Owner, as its authorized official.

NPPES Registry Identity

NPI1871332841
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKEVIEW DENTAL STUDIO
Location Address5315 FOUNTAIN RDKnoxville, TN 37918-3094
Mailing Address5315 Fountain RdKnoxville, TN 37918-3094 · (865) 687-6763
Organization SubpartNo
Authorized OfficialTylen HaderlieOwner · (816) 646-1057
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1871332841 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.
5315 FOUNTAIN RD, Knoxville, TN 37918

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
5315 FOUNTAIN RD, SUITE B
KNOXVILLE, TN 37918
Dentist (General Practice)
5315 FOUNTAIN RD, SUITE B
KNOXVILLE, TN 37918

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 Lakeview Dental Studio's NPI number?

The NPI number for Lakeview Dental Studio is 1871332841. It was assigned to this organization in the NPPES registry on May 21, 2024.

Where is Lakeview Dental Studio located?

Lakeview Dental Studio is located at 5315 Fountain Rd, Knoxville, TN 37918. The listed phone number is (865) 687-6763.

What is Lakeview Dental Studio'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 Lakeview Dental Studio was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.