| Lakeshore Dental Care, Pllc | |
|
4695 Old Canoe Creek Rd Saint Cloud FL 34769-1550 | |
| (407) 957-6760 | |
| Not Available |
| Full Name | Lakeshore Dental Care, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4695 Old Canoe Creek Rd, Saint Cloud, Florida |
| Authorized Official Name and Position | Casey Castle (DIRECTOR OF PAYOR CONTRACTS) |
| Authorized Official Contact | 9127321504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Dental Care, Pllc 4695 Old Canoe Creek Rd Saint Cloud FL 34769-1550 Ph: (407) 957-6760 | Lakeshore Dental Care, Pllc 4695 Old Canoe Creek Rd Saint Cloud FL 34769-1550 Ph: (407) 957-6760 |
| NPI Number | 1154298776 |
|---|---|
| Provider Enumeration Date | 10/20/2025 |
| Last Update Date | 10/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154298776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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