LAKE COUNTRY DENTAL (NPI# 1063751584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063751584 |
| Entity Type | Organization |
| Organization Name | LAKE COUNTRY DENTAL |
| Practice Address |
7401 West Fm 2147 Suite 1 Horseshoe Bay TX 78657 |
| Mailing Address |
Po Box 4208 Horseshoe Bay TX 78657-4208 |
| Practice Telephone | 8302012114 |
| Mailing Telephone | 8302012114 |
| Mailing Fax Number | 8305492134 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |
| Authorized Official Name | DR. LISA MARTIN (OWNER) |
| Authorized Official Telephone | 8302012114 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 24676 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972692556 | Lake Country Dental | Dentist | 8461 Boat Club Rd, Fort Worth, TX 76179-3607 | 2006-10-12 |
| Street Address |
7401 WEST FM 2147 SUITE 1 |
| City | HORSESHOE BAY |
| State | TX |
| Zip Code | 78657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1013418623 | Vanessa Ann Nixon | Registered Nurse | 414 Twisted Oak Drive, Horseshoe Bay, TX 78657 | 2018-02-28 |
| 1225435878 | Rodeo Dental | Dentist | 2815 Bay West Blvd, Horseshoe Bay, TX 78657 | 2014-11-25 |
| 1831508316 | Larry G. Manning | Surgery | 108 Twilight, Horseshoe Bay, TX 78657 | 2014-08-08 |
| 1356650931 | Richard Alan Duncan | Dentist | 7401 Fm 2147 West, Suite 1, Horseshoe Bay, TX 78657 | 2010-09-30 |
| 1215179213 | Jesse Hamilton Dickson | Orthopaedic Surgery | 1009 Red Sail, Horseshoe Bay, TX 78657 | 2009-04-06 |
| 1679722565 | Sharon Ann Bowden | Psychologist | 512 Hi Circle, Horseshoe Bay, TX 78657 | 2008-09-16 |
| 1285751537 | William Howard Reid | Legal Medicine | 209 Long Mountain, Horseshoe Bay, TX 78657 | 2007-03-23 |
| 1417095738 | Gregory Robert Sopel | Dentist | 420a Hi Circle South, Horseshoe Bay, TX 78657 | 2007-02-01 |
| 1972606002 | Hsb Pharmacy Inc | Pharmacy | 7405 Hwy 2147, Horseshoe Bay, TX 78657 | 2006-09-06 |
| Find all providers in zip 78657 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588036883 | Philip Bedford Caldwell | Dentist | 2815 Bay West Blvd., Horseshoe Bay, TX 78657-4642 | 2015-10-26 |
| 1356650931 | Richard Alan Duncan | Dentist | 7401 Fm 2147 West, Suite 1, Horseshoe Bay, TX 78657 | 2010-09-30 |
| 1417095738 | Gregory Robert Sopel | Dentist | 420a Hi Circle South, Horseshoe Bay, TX 78657 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1659971653 | Richardson Heights Dental, Pllc | Dentist | 721 W Arapaho Rd Ste 101, Richardson, TX 75080-4155 | 2020-10-28 |
| 1053911396 | Ko Dental Group, PC | Dentist | 302 S. Avenue Q, Clifton, TX 76634 | 2020-10-27 |
| 1972103240 | Kla Dr Pllc | Dentist | 2100 Dallas Pkwy Ste 120, Plano, TX 75093-4394 | 2020-10-27 |
| 1255930798 | Jpm Dental Conroe | Dentist | 2104 N Frazier St Ste 140, Conroe, TX 77301-1250 | 2020-10-24 |
| 1407455173 | Perla Dental of Kaufman Pa | Dentist | 380 E Us Highway 175, Kaufman, TX 75142-3548 | 2020-10-22 |
| 1497354179 | Perla Dental of Keller Pa | Dentist | 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 | 2020-10-22 |
| 1770182701 | Summit Point Dental & Implant Center | Dentist | 3124 West University Drive, Mckinney, TX 75071-7507 | 2020-10-21 |
| 1760081954 | Amlan Pankaj | Dentist | 802 E Amarillo Blvd # 300, Amarillo, TX 79107-5401 | 2020-10-20 |
| 1114525581 | Ashley Roy | Dentist | 9099 Katy Fwy Ste 180, Houston, TX 77024-1677 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | HORSESHOE BAY |
| Zip Code | 78657 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.