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LAKELINE MALL FAMILY DENTAL
NPI 1053753764
Dentist in Cedar Park, TX

Active since July 23, 2013
11200 LAKELINE MALL DR, SUITE B01, CEDAR PARK, TX 78613(214) 390-9948 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeline Mall Family Dental NPPES

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

LAKELINE MALL FAMILY DENTAL (NPI 1053753764) is a healthcare organization registered as a dentist in Cedar Park, Texas and active in the NPI registry since July 2013. The organization lists Justin Cordon, Manager, as its authorized official.

NPPES Registry Identity

NPI1053753764
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKELINE MALL FAMILY DENTAL
Location Address11200 LAKELINE MALL DR, SUITE B01Cedar Park, TX 78613-1501
Mailing Address11200 Lakeline Mall Dr, Suite B01Cedar Park, TX 78613-1501
Phone(214) 390-9948
Organization SubpartNo
Authorized OfficialJustin CordonManager · (214) 390-9948
Enumeration DateJuly 23, 2013
✔ NPI 1053753764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
11200 LAKELINE MALL DR, Cedar Park, TX 78613
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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

Other Providers at the Same Location NPPES 8

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

DR. PETER HYUN PAK O.D.
Optometrist
11200 LAKELINE MALL DR
CEDAR PARK, TX 78613
Williamson County (512) 698-8112
BEAU D BLANKENSHIP, DDS, PC
Dentist (General Practice)
11200 LAKELINE MALL DR, #B1
CEDAR PARK, TX 78613
Williamson County (512) 448-4867
LAKELINE MALL FDC PA
Dentist
11200 LAKELINE MALL DR, STE B1
CEDAR PARK, TX 78613
Williamson County (512) 448-4867
LAKELINE EYE CENTER
Optometrist
11200 LAKELINE MALL DR, ST. E-5
CEDAR PARK, TX 78613
Williamson County (512) 401-6000
NORTHLAND HEARING CENTERS INC
Audiologist
11200 LAKELINE MALL DR
CEDAR PARK, TX 78613
Williamson County (512) 257-8122
DR. MEERA PATEL SAMPAT OD
Optometrist
11200 LAKELINE MALL DR
CEDAR PARK, TX 78613
Williamson County (512) 257-7070
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
11200 LAKELINE MALL DR, LAKELINE MALL STE #E5
CEDAR PARK, TX 78613
Williamson County (512) 335-3098
LAKELINE EYECARE PLLC
Optometrist
11200 LAKELINE MALL DR, STE E5
CEDAR PARK, TX 78613
Williamson County (512) 401-6002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeline Mall Family Dental's NPI number?

The NPI number for Lakeline Mall Family Dental is 1053753764. It was assigned to this organization in the NPPES registry on July 23, 2013.

Where is Lakeline Mall Family Dental located?

Lakeline Mall Family Dental is located at 11200 Lakeline Mall Dr Suite B01, Cedar Park, TX 78613. The listed phone number is (214) 390-9948.

What is Lakeline Mall Family Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lakeline Mall Family Dental was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.