Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lakeside Family Dentistry and Tmj, PC

Organization General Practice Dentistry · NPI 1396825667

Lakeside Family Dentistry and Tmj, PC provides General Practice Dentistry in Columbus, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7270 N Lake Dr Ste 100
Columbus, GA 31909-2764
Phone: (706) 323-6491
Fax: (706) 323-2671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1396825667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Tully — President · (706) 323-6491
NPI enumeratedOctober 17, 2006
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address7270 N Lake Dr Ste 100, Columbus, GA 31909-2764

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