Lakeshore Family Dentistry Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5503 Issued in LA

Legal business name

LAKESHORE FAMILY DENTISTRY INC

Practice address

720 Robert Boulevard
Slidell, LA 70458

Phone

(985) 643-1852

Fax

(985) 643-1845

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By 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

Dr. Kristie Leah Reine, DDSNPI 1033210513

Title

Owner Dentist

Phone

(985) 643-1852

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristie Leah Reine, DDS

  • General Practice Dentistry
  • Slidell, LA
  • NPI 1033210513
  NPD (past) Authorized official
• Edmund Myles Ring, D.D.S.

  • General Practice Dentistry
  • Slidell, LA
  • NPI 1376766113
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083783419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ROBERT BOULEVARD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-643-1852",
            "fax_number": "985-643-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ROBERT BOULEVARD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-643-1852",
            "fax_number": "985-643-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REINE",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "985-643-1852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Lagarde, FNP
• Leanne Marie Lain, DPT
• Lake Surgical Hospital Slidell, LLC (Our Lady of the Lake Surgical Hospital)
• Lake Surgical Hospital Slidell, LLC (Southern Surgical Hospital)
• Lakeland Healthcare Home & Community Based Waver
• Lakeshore Manor Nursing and Rehab LLC (Trinity Neurologic Rehabilitation Center)
• James Lam, MD
• Hal Dwayne Lamb, CRNA, MS
• Jackie Kilcrease Lambert, MHS, CRC, CIT
• Lee Alan Lambert, M.D.

• General Practice Dentistry in Slidell, LA
• Providers in Slidell, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.