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

Sd Park Lake PLLC

Organization General Practice Dentistry · NPI 1164111241

Sd Park Lake PLLC is a General Practice Dentistry in Waco, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1925 Park Lake Dr
Waco, TX 76708-1682
Phone: (254) 221-0999
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1164111241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynhthy Pham — Owner · (469) 902-6792
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing addressPo Box 453247, Garland, TX 75045-3247

Other providers in Waco