P Praxis·MD
● Active Type 2 · Organization

Towne Lake Dental Group, Llc

Dentist·Pooler, GA· NPI 1053696781 · Enumerated 2011 · 14 years on NPI
Towne Lake Dental Group, Llc is 1 of 4309 dentist organizations in Georgia.
NPI age
14 years
Enumerated 2011-10-13
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Beaudreau
Owner/dentist
Last NPPES update
2011-10-13
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-10Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
125 Southern Junction Blvd, Suite 701
Pooler, GA 313222214
📞 9123304545
Mailing address
125 Southern Junction Blvd, Suite 701
Pooler, GA 313222214
📞 9123304545

Authorized official

Brian Beaudreau, D.M.D.
Owner/dentist
📞 9123304545

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #09617 taxonomy 1223G0001X

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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