Towne Lake Dental Group, LLC
NPI 1053696781ActiveOrganization· Dentist, General Practice· Pooler, GA
Dentist, General Practice in Pooler, Georgia, registered in NPPES in October 2011. The authorized official on file is Brian Beaudreau, D.M.D., Owner/Dentist.
Overview
| NPI | 1053696781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2011 |
| Last updated in NPPES | Oct 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 09617 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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