| Lakeshore Dental Llc | |
|
511 Brookwood Blvd Birmingham AL 35209-6801 | |
| (205) 941-7391 | |
| (205) 244-4000 |
| Full Name | Lakeshore Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 511 Brookwood Blvd, Birmingham, Alabama |
| Authorized Official Name and Position | Stephen Pak (DENTIST/OWNER) |
| Authorized Official Contact | 2059417391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Dental Llc 511 Brookwood Blvd Birmingham AL 35209-6801 Ph: (205) 941-7391 | Lakeshore Dental Llc 511 Brookwood Blvd Birmingham AL 35209-6801 Ph: (205) 941-7391 |
| NPI Number | 1659219582 |
|---|---|
| Provider Enumeration Date | 03/23/2026 |
| Last Update Date | 03/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659219582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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