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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE SHORE DENTAL GROUP PLLC

Active Organization

LAKE SHORE DENTAL GROUP PLLC is a General Dentistry organization located in WACO, Texas. NPI 1093487555 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WACO, TX

Registration Details

NPI Number
1093487555
Provider Type
Organization
NPI Issued
Oct 4, 2021 (4.8737243533415 yrs)
Last Updated
Oct 4, 2021

Practice Information

Address
4535 LAKE SHORE DR
WACO, TX, 76710
Browse TX providers · Browse ZIP 76710
Phone
2547767622
Fax
2547767673
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.