| Lakeside Dental Care, Pllc | |
|
16740 Fm 306 Canyon Lake TX 78133-3109 | |
| (512) 293-5502 | |
| Not Available |
| Full Name | Lakeside Dental Care, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16740 Fm 306, Canyon Lake, Texas |
| Authorized Official Name and Position | Daniel Erwin Allen (OWNER) |
| Authorized Official Contact | 5122935502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Dental Care, Pllc 727 Spring Mountain Dr Canyon Lake TX 78133-3694 Ph: (512) 293-5502 | Lakeside Dental Care, Pllc 16740 Fm 306 Canyon Lake TX 78133-3109 Ph: (512) 293-5502 |
| NPI Number | 1164221636 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164221636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Canyon Lake Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8565 Fm 2673, Canyon Lake, TX 78133 Phone: 903-360-8657 | |
Robbie Schaack Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8434 Fm 2673, Canyon Lake, TX 78133 Phone: 801-787-8239 |