Lakeshore Dental Care, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKESHORE DENTAL CARE, PLLC

Practice address

4695 Old Canoe Creek Rd
Saint Cloud, FL 34769-1550

Phone

(407) 957-6760

NPI assigned

Oct 20, 2025

Last updated

Oct 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Casey Castle

Title

Director of Payor Contracts

Phone

(912) 732-1504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1154298776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 OLD CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691550",
            "telephone_number": "407-957-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 OLD CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691550",
            "telephone_number": "407-957-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTS",
        "authorized_official_telephone_number": "912-732-1504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen S. Laboy Rivera
• Marianna Lachaga, MS CCC-SLP
• Floyd Tamar Laidlaw, PTA
• Lake City Institute of Neurology PA (Florida Institute of Neurology)
• Lake City Institute of Neurology PA (Florida Institute of Neurology)
• Michelle Lanclos, OTR/L
• Meagan Lane
• Keily Largacha, COTA/L
• Carlos Ramon Larios
• Eric John Larson Jr., PHARM.D.

• Dental Clinic/Center in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.