LAKE KIOWA FAMILY DENTAL, PLLC
NPI 1528423266
Clinic/Center - Dental in Lake Kiowa, TX

Q: What is Lake Kiowa Family Dental, PLLC's NPI number?

The NPI number for Lake Kiowa Family Dental, PLLC is 1528423266. It was assigned to this organization in the NPPES registry on December 23, 2015.

Q: What is Lake Kiowa Family Dental, PLLC's specialty?

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

Active since December 23, 2015

100 KIOWA DR W, SUITE 200, LAKE KIOWA, TX 76240(940) 612-1555 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Kiowa Family Dental, Pllc NPPES

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

LAKE KIOWA FAMILY DENTAL, PLLC (NPI 1528423266) is a healthcare organization registered as a dental in Lake Kiowa, Texas and active in the NPI registry since December 2015. The organization lists Matthew A Bayne, Dentist, as its authorized official.

NPPES Registry Identity

NPI1528423266

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameLAKE KIOWA FAMILY DENTAL, PLLC

Location Address100 KIOWA DR W, SUITE 200Lake Kiowa, TX 76240-9584

Mailing Address100 Kiowa Dr W, Suite 200Lake Kiowa, TX 76240-9584 · (940) 612-1555

Phone(940) 612-1555

Organization SubpartNo

Authorized OfficialMatthew A BayneDentist · (940) 612-1555

Enumeration DateDecember 23, 2015

✔ NPI 1528423266 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 TX · 24498

100 KIOWA DR W, Lake Kiowa, TX 76240

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Other Identifiers 1

Other1518167915TX · Individual Npi

Other Providers at the Same Location NPPES 4

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

EDWARD LEWIS EMDE R.PH.

Pharmacist

100 KIOWA DR W, #104
LAKE KIOWA, TX 76240

Cooke County (940) 668-7384

HOLLY OLIVEIRA FNP

Nurse Practitioner (Family)

100 KIOWA DR W, SUITE 103
LAKE KIOWA, TX 76240

Cooke County (940) 612-5562

MRS. SKYLAR DIAN CAMACHO DC

Chiropractor

100 KIOWA DR W
LAKE KIOWA, TX 76240

Cooke County (940) 668-8755

DR. SARAH FRIEDRICH DC

Chiropractor

100 KIOWA DR W
LAKE KIOWA, TX 76240

Cooke County (940) 668-8755

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 Lake Kiowa Family Dental, PLLC's NPI number?

The NPI number for Lake Kiowa Family Dental, PLLC is 1528423266. It was assigned to this organization in the NPPES registry on December 23, 2015.

Where is Lake Kiowa Family Dental, PLLC located?

Lake Kiowa Family Dental, PLLC is located at 100 Kiowa Dr W Suite 200, Lake Kiowa, TX 76240. The listed phone number is (940) 612-1555.

What is Lake Kiowa Family Dental, PLLC'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 Lake Kiowa Family Dental, PLLC was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.