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

Lake Shore Dental Care, PLLC

Organization Dental Clinic/Center · NPI 1821971771

Lake Shore Dental Care, PLLC is a Dental Clinic/Center in Waco, Texas. Registered with an NPI since 2025.

In the registry since
2025
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

4535 Lake Shore Dr
Waco, TX 76710-1814
Phone: (254) 414-0928
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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 number1821971771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Halfmann — Owner Dentist · (254) 709-0514
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address4535 Lake Shore Dr, Waco, TX 76710-1814

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