Seaside Smiles, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SEASIDE SMILES, PLLC

Doing business as

Lakeside Smiles Pediatric Dentistry, PLLC

Practice address

82 Main St.
Alton, NH 03809-1498

Phone

(603) 280-4500

Fax

(603) 632-3620

NPI assigned

Mar 1, 2013

Last updated

Mar 20, 2023By 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

Mr. Andrew Hall

Title

Business Manager

Phone

(603) 280-4500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lakeside Smiles Pediatric Dentistry, PLLC Doing business as

Tax ID family

Lakeside Smiles Pediatric Dentistry PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Seaside Smiles, PLLC

  dba Lakeside Smiles Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Wolfeboro, NH
  • NPI 1053013441
  NPD tax ID

Locations

Practitioners 1

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.

• Mindy Marie Hall, D.M.D.

  • Pediatric Dentistry
  • Vero Beach, FL
  • NPI 1649208547
  NPD (past)

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1255671178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038091498",
            "telephone_number": "603-280-4500",
            "fax_number": "603-632-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MAIN ST.",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038091498",
            "telephone_number": "603-280-4500",
            "fax_number": "603-632-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "603-280-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN17086",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3108842",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Smiles Pediatric Dentistry, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Smiles Pediatric Dentistry, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie Lapierre, APRN
• Carol Ann Murtagh, RNC,LADC
• David Hamilton Reall, MD
• Tuesday Michele Renner, M.D.
• Revival Behavioral Health Services
• Kelly Ann Sullivan, RN
• Jennifer Anne Tedcastle, PA-C
• Curtis A Thibeault, DMD
• Estelle M Thibodeau, LICSW
• Town of Alton (Alton Fire Rescue Department)

• Pediatric Dentistry in Alton, NH
• Providers in Alton, NH by specialty
• Pediatric Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.