| Lake Shore Dental Care, Pllc | |
|
4535 Lake Shore Dr Waco TX 76710-1814 | |
| (254) 414-0928 | |
| Not Available |
| Full Name | Lake Shore Dental Care, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4535 Lake Shore Dr, Waco, Texas |
| Authorized Official Name and Position | Matthew Halfmann (OWNER DENTIST) |
| Authorized Official Contact | 2547090514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Shore Dental Care, Pllc 4535 Lake Shore Dr Waco TX 76710-1814 Ph: () - | Lake Shore Dental Care, Pllc 4535 Lake Shore Dr Waco TX 76710-1814 Ph: (254) 414-0928 |
| NPI Number | 1821971771 |
|---|---|
| Provider Enumeration Date | 07/29/2025 |
| Last Update Date | 07/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821971771 | NPI | - | NPPES |
| 1972236081 | Other | TX | NPI |
| 1700922812 | Other | TX | NPI |
| 1528684412 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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