Canyon Lake Family Dental Care, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CANYON LAKE FAMILY DENTAL CARE, PLLC

Practice address

8565 FM 2673 Ste 3
Canyon Lake, TX 78133-6544

Phone

(830) 264-8500

NPI assigned

Aug 20, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Fleming Copeland

Title

DMD/Owner

Phone

(940) 220-7833

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1033096912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N INTERSTATE 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438",
            "telephone_number": "940-220-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 FM 2673 STE 3",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781336544",
            "telephone_number": "830-264-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON LAKE FAMILY DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "FLEMING",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "940-220-7833"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Burch, LPC
• Eva Callahan
• Danny Lopez Campos, APRN, MSN, FNP-C
• Tammy Cantu, LPC
• Canyon Lake Dental PLLC
• Canyon Lake Fire/EMS
• Canyon Lake Medical Clinic
• Canyon Lake Senior Home Care Inc.
• Camille Mari Coffey, LPC
• Christy Cole, LVN

• General Practice Dentistry in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.