LAKEVIEW DENTAL PC – NPI #1568065225
Clinic/Center

LAKEVIEW DENTAL PC is an AHC clinic located in WALDORF, MD. NPPES has assigned the NPI number 1568065225 to LAKEVIEW DENTAL PC on November 17, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKEVIEW DENTAL PC below.

NPI Profile for
LAKEVIEW DENTAL PC

NPI Number
1568065225
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKEVIEW DENTAL PC
Primary location
605 POST OFFICE RD STE 203
WALDORF, MD 20602-1913
Phone: (301) 843-3444 Fax: (301) 843-3633
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AAKASH MUDALIAR
PRESIDENT
Phone: (570) 309-8223
Updated
Certification Date
Nov 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.