LAKELINE MALL FDC PA
NPI 1275791410
Dentist in Cedar Park, TX

Active since May 23, 2008
11200 LAKELINE MALL DR, STE B1, CEDAR PARK, TX 78613(512) 448-4867(512) 335-7668 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeline Mall Fdc Pa NPPES

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

LAKELINE MALL FDC PA (NPI 1275791410) is a healthcare organization registered as a dentist in Cedar Park, Texas and active in the NPI registry since May 2008. The organization lists Lynn Armstrong, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1275791410
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKELINE MALL FDC PA
Location Address11200 LAKELINE MALL DR, STE B1Cedar Park, TX 78613-1502
Mailing Address11200 Lakeline Mall Dr, Ste B1Cedar Park, TX 78613-1502 · (512) 448-4867 · Fax (512) 335-7668
Fax(512) 335-7668
Organization SubpartNo
Authorized OfficialLynn ArmstrongRegional Manager · (505) 328-4857
Enumeration DateMay 23, 2008
NPI 1275791410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 0008481
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

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.

Optometrist
11200 LAKELINE MALL DR
CEDAR PARK, TX 78613
Dentist
11200 LAKELINE MALL DR, SUITE B01
CEDAR PARK, TX 78613
Dentist (General Practice)
11200 LAKELINE MALL DR, #B1
CEDAR PARK, TX 78613
Optometrist
11200 LAKELINE MALL DR, ST. E-5
CEDAR PARK, TX 78613
Audiologist
11200 LAKELINE MALL DR
CEDAR PARK, TX 78613
Optometrist
11200 LAKELINE MALL DR
CEDAR PARK, TX 78613
Eyewear Supplier
11200 LAKELINE MALL DR, LAKELINE MALL STE #E5
CEDAR PARK, TX 78613
Optometrist
11200 LAKELINE MALL DR, STE E5
CEDAR PARK, TX 78613

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 Fdc PA's NPI number?

The NPI number for Lakeline Mall Fdc PA is 1275791410. It was assigned to this organization in the NPPES registry on May 23, 2008.

Where is Lakeline Mall Fdc PA located?

Lakeline Mall Fdc PA is located at 11200 Lakeline Mall Dr Ste B1, Cedar Park, TX 78613. The listed phone number is (512) 448-4867.

What is Lakeline Mall Fdc PA'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 Fdc PA was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.