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LAKE SHORE FAMILY DENTAL
NPI 1063558617
Clinic/Center - Dental in Pasadena, MD

Active since January 30, 2007
4330 MOUNTAIN RD, PASADENA, MD 21122(410) 255-8001(410) 255-0687 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Shore Family Dental NPPES

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

LAKE SHORE FAMILY DENTAL (NPI 1063558617) is a healthcare organization registered as a dental in Pasadena, Maryland and active in the NPI registry since January 2007. The organization lists Walter S Hong, President, as its authorized official.

NPPES Registry Identity

NPI1063558617
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWALTER S. HONG, D.D.S., P.A.
Location Address4330 MOUNTAIN RDPasadena, MD 21122-4520
Mailing Address4330 Mountain RdPasadena, MD 21122-4520 · (410) 255-8001 · Fax (410) 255-0687
Phone(410) 255-8001
Fax(410) 255-0687
Organization SubpartNo
Authorized OfficialWalter S HongPresident · (410) 255-8001
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063558617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MD · 13307
4330 MOUNTAIN RD, Pasadena, MD 21122
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Other Names 1

Doing Business AsLake Shore Family Dental

Other Providers at the Same Location NPPES

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

DR. WALTER S. HONG D.D.S.
Dentist (General Practice)
4330 MOUNTAIN RD
PASADENA, MD 21122
Anne Arundel County (410) 255-8001

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 Walter S. Hong, D.D.S., P.A.'s NPI number?

The NPI number for Walter S. Hong, D.D.S., P.A. is 1063558617. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Lake Shore Family Dental.

Where is Walter S. Hong, D.D.S., P.A. located?

Walter S. Hong, D.D.S., P.A. is located at 4330 Mountain Rd, Pasadena, MD 21122. The listed phone number is (410) 255-8001.

What is Walter S. Hong, D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Walter S. Hong, D.D.S., P.A. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.