Lake Shore Dental Group Pllc

LBN: Lake Shore Dental Group Pllc
Lake Shore Dental Group Pllc is an health care organization with primary practice located at 4535 Lake Shore Dr , Waco TX 76710. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lake Shore Dental Group Pllc can be contacted via phone (254) 776-7622, or through Waldschmidt, Traci via phone (254) 722-1083.

Contact Information

Primary practice address
4535 Lake Shore Dr Waco TX 76710
Phone: (254) 776-7622
Fax: (254) 776-7673
Website:
Map and Directions
Authorized official contact:
Name: Waldschmidt, Traci
Phone: (254) 722-1083

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1093487555
LBN Legal business name Lake Shore Dental Group Pllc
DBA Doing business as
Authorized official Waldschmidt, Traci
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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