LAKESHORE DENTAL STUDIO
NPI 1972145407
Clinic/Center - Dental in Orlando, FL
About Lakeshore Dental Studio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESHORE DENTAL STUDIO (NPI 1972145407), doing business as Lakeshore Dental, is a healthcare organization registered as a dental in Orlando, Florida and active in the NPI registry since October 2019. The organization lists Connor Van, Dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
ORLANDO, FL 32804
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 Lakeshore Dental Studio's NPI number?
The NPI number for Lakeshore Dental Studio is 1972145407. It was assigned to this organization in the NPPES registry on October 16, 2019. The provider is doing business as Lakeshore Dental.
Where is Lakeshore Dental Studio located?
Lakeshore Dental Studio is located at 1221 W Fairbanks Ave, Orlando, FL 32804. The listed phone number is (407) 794-1515.
What is Lakeshore Dental Studio'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 Lakeshore Dental Studio was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lakeshore Dental Studio · NPI 1972145407
Dental organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since October 16, 2019.
## Identity
- **NPI:** 1972145407 (Entity type: Organization)
- **Enumerated:** October 16, 2019
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Lakeshore Dental (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Connor Van, DENTIST
## Practice location
- **Address:** 1221 W FAIRBANKS AVE, Orlando, FL 32804-1205
- **Phone:** (407) 794-1515
## Record status
- **NPPES last updated:** October 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1972145407) · Data from the CMS NPPES public registry.