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

Lakeshore Dental Studio

Organization Dental Clinic/Center · NPI 1972145407

Lakeshore Dental Studio is a Dental Clinic/Center in Orlando, Florida. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1221 W Fairbanks Ave
Orlando, FL 32804-1205
Phone: (407) 794-1515
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1972145407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Connor Van — Dentist · (617) 416-8016
Other names Lakeshore Dental
NPI enumeratedOctober 16, 2019
Last updated in NPPESOctober 16, 2019
Mailing address1221 W Fairbanks Ave, Orlando, FL 32804-1205

Other providers in Orlando