Lakes Dental FW PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAKES DENTAL FW PLLC

Practice address

4968 Overton Ridge Blvd
Fort Worth, TX 76132-1909

Phone

(817) 263-0181

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Cecile Nguyen

Title

Owner

Phone

(972) 896-9386

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven M Huffstutler, DDS

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1528074754
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1306555032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 LEBANON RD STE 144268",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 OVERTON RIDGE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321909",
            "telephone_number": "817-263-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES DENTAL FW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-896-9386"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Worth Independent School District
• Lake Worth Investments Inc.
• Jeremy Michael Lake, PT
• Olivia Lake
• Lakeisha Braziel - Davis LLC
• Joyce N Laktari, PA-C
• Sonia Lal
• Harika Lala, D.D.S
• Michael Lalli, NNP
• Annie Lam, MD

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.