LAKELINE FAMILY DENTAL
NPI 1043612963
Dentist in Cedar Park, TX

Active since September 23, 2014
1201 N LAKELINE BLVD, SUITE NUMBER 300, CEDAR PARK, TX 78613(512) 937-3371 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeline Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKELINE FAMILY DENTAL (NPI 1043612963) is a healthcare organization registered as a dentist in Cedar Park, Texas and active in the NPI registry since September 2014. The organization lists Amita Prakash, Dentist, as its authorized official.

NPPES Registry Identity

NPI1043612963
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKELINE FAMILY DENTAL
Location Address1201 N LAKELINE BLVD, SUITE NUMBER 300Cedar Park, TX 78613-6781
Mailing Address1201 N Lakeline Blvd, Suite Number 300Cedar Park, TX 78613-6781 · (512) 937-3371
Organization SubpartNo
Authorized OfficialAmita PrakashDentist · (512) 659-6968
Enumeration DateSeptember 23, 2014
NPI 1043612963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 22965
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1201 N LAKELINE BLVD, Cedar Park, TX 78613

Other Identifiers 1

Medicaid183706402TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1201 N LAKELINE BLVD, STE 300
CEDAR PARK, TX 78613
Clinic/Center (Primary Care)
1201 N LAKELINE BLVD, SUITE 400
CEDAR PARK, TX 78613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043612963, enumerated as an "organization" on September 23, 2014.

The provider is located at 1201 N LAKELINE BLVD SUITE NUMBER 300 CEDAR PARK, TX 78613 and the phone number is (512) 937-3371.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.