Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Access Dental of Park Lake PA

Organization Dentist · NPI 1275997082

Access Dental of Park Lake PA is a Dentist in Waco, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 Park Lake Dr
Waco, TX 76708-1682
Phone: (972) 514-1689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22334 (TX)

Record details

NPI number1275997082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tien Phan — Dentist · (972) 514-1689
NPI enumeratedApril 7, 2016
Last updated in NPPESOctober 25, 2021
Certification dateOctober 11, 2021
Mailing address8150 Springwood Dr # 150b, Irving, TX 75063-5810

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