Lakeside Dental Smiles LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAKESIDE DENTAL SMILES LLC

Practice address

100 Lakeforest Blvd Ste 620
Gaithersburg, MD 20877-6203

Phone

(301) 990-7778

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alireza Rajaei

Title

Owner

Phone

(617) 599-0599

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1033953005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKEFOREST BLVD STE 620",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208776203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKEFOREST BLVD STE 620",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208776203",
            "telephone_number": "301-990-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE DENTAL SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "RAJAEI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-599-0599"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Laguerre, LMSW
• Laheri Rehabilitation Consultants
• Sneha Laheri
• Lakeforest Ambulatory Surgery Center
• Lakeside ABA LLC
• Kunal Lal
• Pankaj Lal, M.D.
• Pedram Lalehpour, PHARM.D.
• Eddie H Lam, D.M.D
• Victor H Lam, DDS

• Dentist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.