Organization Active NPI

Lakeshore Dental LLC

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1659219582
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKESHORE DENTAL LLC
Practice address
511 Brookwood Blvd
Birmingham, AL 35209-6801
Phone
(205) 941-7391
Fax
(205) 244-4000
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Stephen Pak, DDS
Title
Dentist/Owner
Phone
(205) 941-7391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

511 Brookwood Blvd
Birmingham, AL 35209-6801

Mailing address

511 Brookwood Blvd
Birmingham, AL 35209-6801
Phone (205) 941-7391

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1659219582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BROOKWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096801",
            "telephone_number": "205-941-7391",
            "fax_number": "205-244-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BROOKWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096801",
            "telephone_number": "205-941-7391",
            "fax_number": "205-244-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "205-941-7391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.