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

Lakeline Mall Family Dental

Organization Dentist · NPI 1053753764

Lakeline Mall Family Dental is a Dentist in Cedar Park, Texas. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

11200 Lakeline Mall Dr Ste B01
Cedar Park, TX 78613-1501
Phone: (214) 390-9948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1053753764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Cordon — Manager · (214) 390-9948
NPI enumeratedJuly 23, 2013
Last updated in NPPESJuly 23, 2013
Mailing address11200 Lakeline Mall Dr, Suite B01, Cedar Park, TX 78613-1501

Other providers in Cedar Park