NPIMap

Organization Active NPI

Lake Pointe Dental Inc

  • General Practice Dentistry
  • Acworth, GA
National Provider Identifier
1093825028
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKE POINTE DENTAL INC
Practice address
3950 Cobb Pkwy NW
Suite 402
Acworth, GA 30101-9532
Phone
(770) 966-9396
Fax
(770) 966-8774
NPI assigned
Aug 30, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Sandra Aguilar
Title
Office Manager
Phone
(770) 966-9396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3950 Cobb Pkwy NW
Suite 402
Acworth, GA 30101-9532

Mailing address

3950 Cobb Pkwy NW
Suite 402
Acworth, GA 30101-9532
Phone (770) 966-9396

National Provider Directory

National Provider Directory
Tax ID family
Lake Pointe Dental Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3950 Cobb Pkwy NW
Ste 402
Acworth, GA 30101
Phone (770) 966-9396

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1093825028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW",
            "address_2": "SUITE 402",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019532",
            "telephone_number": "770-966-9396",
            "fax_number": "770-966-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW",
            "address_2": "SUITE 402",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019532",
            "telephone_number": "770-966-9396",
            "fax_number": "770-966-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE POINTE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-966-9396"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.