Natasha Alexis Lisin-Queen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN014359 Issued in GA

Practice address

592 Medical Park Dr Ste B
Gainesville, GA 30501-2055

Phone

(678) 498-1441

NPI assigned

Jun 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Pointe Dental Inc

  • General Practice Dentistry
  • Acworth, GA
  • NPI 1093825028
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1902068372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CHICKERING LAKE DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753278",
            "telephone_number": "314-498-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 MEDICAL PARK DR STE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012055",
            "telephone_number": "678-498-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Dallas Hwy SW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300642567",
            "country_code": "US",
            "telephone_number": "407-462-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISIN-QUEEN",
        "first_name": "NATASHA",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014359",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN31461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Singleton, PT and Associates, Inc.
• Clifford Wesley Lindsey, M.D.
• Kiera Linton
• Brittany S Lipian, AAC
• Lisa a. Wirth, MD LLC
• Misty Litt, PA
• Delaney Jarrett Little, FNP-C
• Morgan Little
• Stephen L Little, MD
• Michael Dehong Liu, MD

• Dentist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.