Lakeside Pediatric Dentistry, Llc
Pediatric Dental Clinic
1050 Parkside Cmns, Suite 103, Greensboro
Georgia, 30642-4524
706-454-2222 706-454-1234
Maps & DirectionsLakeside Pediatric Dentistry, Llc is a Pediatric Dental Clinic in Greensboro, Georgia. It is located at 1050 Parkside Cmns, Suite 103, Greensboro, GA and its contact number is 706-454-2222. The authorized person for Lakeside Pediatric Dentistry, Llc is Tina Locher
who is Office Manager of the clinic and their contact number is 478-743-0901. The primary license number for Lakeside Pediatric Dentistry, Llc is DN012737 (Pediatric Dentistry) in Georgia.
Lakeside Pediatric Dentistry, Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Lakeside Pediatric Dentistry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lakeside Pediatric Dentistry, Llc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1050 Parkside Cmns, Suite 103, Greensboro,
Georgia, 30642-4524 |
| Phone: | 706-454-2222 |
| Fax: | 706-454-1234 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Tina Locher |
| Position: | Office Manager |
| Contact Number: | 478-743-0901 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lakeside Pediatric Dentistry, Llc clinic are as mentioned below.
| NPI Number: | 1174064539 |
| NPI Enumeration Date: | 17 Mar, 2017 |
| NPI Last Update On: | 17 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakeside Pediatric Dentistry, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | DN012737 | Georgia | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lakeside Pediatric Dentistry, Llc
1050 Parkside Cmns, Suite 103
Greensboro, Georgia |
| Zip: | 30642-4524 |
| Phone Number: | 706-454-2222 |
| Fax Number: | 706-454-1234 |
Patients can reach Lakeside Pediatric Dentistry, Llc at
1050 Parkside Cmns, Suite 103, Greensboro, Georgia or can
call to book an appointment on 706-454-2222.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.