LAKE SHORE DENTAL CARE, PLLC
NPI 1821971771
Clinic/Center - Dental in Waco, TX
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
Specialties & Licenses
Other Identifiers 3
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.
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 Shore Dental Care, PLLC's NPI number?
The NPI number for Lake Shore Dental Care, PLLC is 1821971771. It was assigned to this organization in the NPPES registry on July 29, 2025.
Where is Lake Shore Dental Care, PLLC located?
Lake Shore Dental Care, PLLC is located at 4535 Lake Shore Dr, Waco, TX 76710. The listed phone number is (254) 414-0928.
What is Lake Shore Dental Care, 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 Shore Dental Care, PLLC was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Lake Shore Dental Care, Pllc · NPI 1821971771
Dental organization in Waco, Texas. Organization record, active in the CMS NPPES registry since July 29, 2025.
## Identity
- **NPI:** 1821971771 (Entity type: Organization)
- **Enumerated:** July 29, 2025
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Matthew Halfmann, OWNER DENTIST
## Practice location
- **Address:** 4535 LAKE SHORE DR, Waco, TX 76710-1814
- **Phone:** (254) 414-0928
## Record status
- **NPPES last updated:** July 29, 2025
- **Other identifiers:** Other 1972236081 (TX); Other 1700922812 (TX); Other 1528684412
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Source: [NPI Profile](https://npiprofile.com/npi/1821971771) · Data from the CMS NPPES public registry.