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

East Lake Dental, PLLC

Organization Dental Clinic/Center · NPI 1568992261

East Lake Dental, PLLC is a Dental Clinic/Center in Dallas, Texas. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

718 N Buckner Blvd Ste 110
Dallas, TX 75218-2764
Phone: (214) 295-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1568992261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Desutter — Dentist · (972) 559-4185
NPI enumeratedJune 14, 2017
Last updated in NPPESOctober 10, 2017
Mailing address718 N Buckner Blvd Ste 110, Dallas, TX 75218-2764

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