Lakeside Center for Implant Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013244 Issued in MI

Legal business name

LAKESIDE CENTER FOR IMPLANT DENTISTRY

Practice address

15400 19 Mile Rd
Suite 181
Clinton Township, MI 48038-6327

Phone

(586) 228-0909

NPI assigned

Oct 23, 2013

Organization subpart

No

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

Authorized official

Name

Alan F Robinson, D.D.S.

Title

Dentist

Phone

(586) 228-0909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1235567694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 19 MILE RD",
            "address_2": "SUITE 181",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386327",
            "telephone_number": "586-228-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 19 MILE RD",
            "address_2": "SUITE 181",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386327",
            "telephone_number": "586-228-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE CENTER FOR IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-228-0909",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lafleure
• Huanchun Nana Lai, MD
• Ashley Taylor Laine, LLMSW
• Lakeshore Mammography Center PC
• Lakeshore Medical Pharmacy
• Lakeside Urgent Care, P. C.
• Lakeside Urgent Care, P.C.
• Michael K. Lala, M.D.
• Eric Lalama
• Sandra Lalande

• All providers in Clinton Township, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.