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

Lake Shore Dental Group PLLC

Organization General Practice Dentistry · NPI 1093487555

Lake Shore Dental Group PLLC is a General Practice Dentistry in Waco, Texas. Registered with an NPI since 2021.

In the registry since
2021
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
Phone: (254) 776-7622
Fax: (254) 776-7673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1093487555
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBright Dental Associates LLC
Authorized official Traci Waldschmidt — Chief Operating Officer · (254) 722-1083
Other names Bright Dental Associates Llc
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address4535 Lake Shore Dr, Waco, TX 76710-1814

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