Lakeside Dental Designs, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAKESIDE DENTAL DESIGNS, PLLC

Practice address

637 Lowell St Ste a-90
Peabody, MA 01960-2318

Phone

(978) 319-9915

NPI assigned

Apr 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Minh CHI Dinh, DMDNPI 1871908855

Title

Owner / General Dentist

Phone

(978) 319-9915

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minh CHI Dinh, D.M.D

  • Dentist
  • Cleveland, OH
  • NPI 1871908855
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1003378183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WARWICK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018513720",
            "telephone_number": "978-866-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 LOWELL ST STE A-90",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602318",
            "telephone_number": "978-319-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE DENTAL DESIGNS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "CHI",
        "authorized_official_title_or_position": "OWNER / GENERAL DENTIST",
        "authorized_official_telephone_number": "978-319-9915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ange Laforest
• Federico Fabian Lago, D.M.D.
• Lahey Clinic Hospital Inc
• Lahey Clinic Hospital, Inc.
• Lahey Clinic, Inc
• Glenn C Lambert, COTA
• Jarett S Landman, PA-C
• Betsy M Lang, MSW
• Susan M Lang, PHARMACIST
• Tamara Lange, M.A.

• General Practice Dentistry in Peabody, MA
• Providers in Peabody, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.