Lakeland Smiles, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12224 Issued in MN

Legal business name

LAKELAND SMILES, PLLC

Practice address

22 5TH Ave NE
Pelican Rapids, MN 56572-4126

Phone

(218) 863-7511

NPI assigned

Apr 27, 2016

Last updated

Jan 7, 2022By 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. Bethany Baillargeon, D.D.S.

Title

Dentist

Phone

(218) 863-7511

Specialties & licenses 1

Addresses

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.

• Bethany L. Baillargeon Marx, DDS

  • Dentist
  • Pelican Rapids, MN
  • NPI 1598076119
  NPD

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1467807412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "PELICAN RAPIDS",
            "state": "MN",
            "postal_code": "565720302",
            "telephone_number": "218-863-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 5TH AVE NE",
            "city": "PELICAN RAPIDS",
            "state": "MN",
            "postal_code": "565724126",
            "telephone_number": "218-863-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "BAILLARGEON",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "218-863-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "12224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ind School Dist 548
• Jacob Mark Januszewski, PT
• Shayla Marie Jegtvig, NURSE PRACTITIONER
• Emily Kalina, NP
• Danelle H Kosciarz, OTR/L
• Peter Larson
• Monica Martha Leslie, OTR
• Donald J Lundrigan, DDS
• Jeffrey Lee Mackner, OD
• Kathleen Jo McNabb, LPC

• Dental Clinic/Center in Pelican Rapids, MN
• Providers in Pelican Rapids, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.