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Lakeway Dental Center PLLC

NPI 1649576190ActiveOrganization· Dentist, General Practice· Bean Station, TN

Dentist, General Practice in Bean Station, Tennessee, registered in NPPES in February 2011. The authorized official on file is Dana M. Johnson, DMD, Dentist.

Overview

NPI1649576190
StatusActive
Entity typeOrganization
NPI issuedFeb 1, 2011
Last updated in NPPESFeb 1, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XDS9208TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Bean Station

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