NPI 1003268608

Lakeside Dental LLC

Organisation General Practice Dentistry Shirley, AR

Practice location

Address: 15775 Highway 16 E, Shirley, AR 72153-8930
Phone: (501) 499-0906

Authorised official

Name: Larhonda Apata
Title: Dentist
Phone: (501) 499-0906

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4091 (AR)

Other Dentist providers in Arkansas →

Registry record

NPI: 1003268608
Entity type: Organization
NPI issued: 7 Jul 2016
Record last updated: 7 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.