LAKE SHORE DENTAL CARE, PLLC
NPI 1821971771
Clinic/Center - Dental in Waco, TX

Active since July 29, 2025
4535 LAKE SHORE DR, WACO, TX 76710(254) 414-0928 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake Shore Dental Care, Pllc NPPES

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

LAKE SHORE DENTAL CARE, PLLC (NPI 1821971771) is a healthcare organization registered as a dental in Waco, Texas and active in the NPI registry since July 2025. The organization lists Matthew Halfmann, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1821971771
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKE SHORE DENTAL CARE, PLLC
Location Address4535 LAKE SHORE DRWaco, TX 76710-1814
Mailing Address4535 Lake Shore DrWaco, TX 76710-1814
Organization SubpartNo
Authorized OfficialMatthew HalfmannOwner Dentist · (254) 709-0514
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1821971771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4535 LAKE SHORE DR, Waco, TX 76710

Other Identifiers 3

Other1972236081TX · Npi
Other1700922812TX · Npi
Other1528684412Npi

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
4535 LAKE SHORE DR
WACO, TX 76710
Dentist (General Practice)
4535 LAKE SHORE DR
WACO, TX 76710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821971771, enumerated as an "organization" on July 29, 2025.

The provider is located at 4535 LAKE SHORE DR WACO, TX 76710 and the phone number is (254) 414-0928.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.