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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAKE LEON DENTAL PLLC
NPI 1710811237
Dentist - General Practice in Eastland, TX

Active since June 10, 2026
1414 E MAIN ST, EASTLAND, TX 76448(361) 446-6396 Get Directions Write a Review

NPPES record added: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Leon Dental Pllc NPPES

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

LAKE LEON DENTAL PLLC (NPI 1710811237) is a healthcare organization registered as a general practice in Eastland, Texas and active in the NPI registry since June 2026. The organization lists Raghav Puri, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1710811237
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE LEON DENTAL PLLC
Location Address1414 E MAIN STEastland, TX 76448-3023
Mailing Address1414 E Main StEastland, TX 76448-3023 · (361) 446-6396
Phone(361) 446-6396
Organization SubpartNo
Authorized OfficialRaghav PuriOwner/dentist · (903) 723-4223
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1710811237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1414 E MAIN ST, Eastland, TX 76448
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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

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 Leon Dental PLLC's NPI number?

The NPI number for Lake Leon Dental PLLC is 1710811237. It was assigned to this organization in the NPPES registry on June 10, 2026.

Where is Lake Leon Dental PLLC located?

Lake Leon Dental PLLC is located at 1414 E Main St, Eastland, TX 76448. The listed phone number is (361) 446-6396.

What is Lake Leon Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lake Leon Dental PLLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.