LAKE KIOWA FAMILY DENTAL
NPI 1952889404
Dentist - General Practice in Lake Kiowa, TX

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

The NPI number for Lake Kiowa Smiles, PLLC is 1952889404. It was assigned to this organization in the NPPES registry on August 6, 2018. The provider is doing business as Lake Kiowa Family Dental.

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

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

Active since August 06, 2018

100 KIOWA DR W, STE 200, LAKE KIOWA, TX 76240(940) 612-1555(940) 612-1565 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Kiowa Family Dental NPPES

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

LAKE KIOWA FAMILY DENTAL (NPI 1952889404) is a healthcare organization registered as a general practice in Lake Kiowa, Texas and active in the NPI registry since August 2018. The organization lists Benjamin Tyler Hill, Owner, as its authorized official.

NPPES Registry Identity

NPI1952889404

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLAKE KIOWA SMILES, PLLC

Location Address100 KIOWA DR W, STE 200Lake Kiowa, TX 76240-9502

Mailing Address100 Kiowa Dr W, Ste 200Lake Kiowa, TX 76240-9502 · (940) 612-1555 · Fax (940) 612-1565

Phone(940) 612-1555

Fax(940) 612-1565

Organization SubpartNo

Authorized OfficialBenjamin Tyler HillOwner · (940) 612-1555

Enumeration DateAugust 6, 2018

✔ NPI 1952889404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 25047

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.

100 KIOWA DR W, STE 200, Lake Kiowa, TX 76240

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Other Names 1

Doing Business AsLake Kiowa Family Dental

Other Identifiers 1

Other20547TX · State License

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 Kiowa Smiles, PLLC's NPI number?

The NPI number for Lake Kiowa Smiles, PLLC is 1952889404. It was assigned to this organization in the NPPES registry on August 6, 2018. The provider is doing business as Lake Kiowa Family Dental.

Where is Lake Kiowa Smiles, PLLC located?

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

What is Lake Kiowa Smiles, 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 Kiowa Smiles, PLLC was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.