Lakeline Family Dental

LBN: Lakeline Family Dental
Lakeline Family Dental is an health care organization with primary practice located at 1201 N Lakeline Blvd Suite Number 300, Cedar Park TX 78613-6781. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lakeline Family Dental can be contacted via phone (512) 937-3371, or through Prakash, Amita via phone (512) 659-6968.

Contact Information

Primary practice address
1201 N Lakeline Blvd Suite Number 300 Cedar Park TX 78613-6781
Phone: (512) 937-3371
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prakash, Amita Doctor of Dental Surgery (DDS)
Phone: (512) 659-6968

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22965 Texas

Profile Details

NPI number 1043612963
LBN Legal business name Lakeline Family Dental
DBA Doing business as
Authorized official Prakash, Amita Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2014
Last updated Sep 23rd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043612963 NPPES
Texas MEDICAID 183706402

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