Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Access Dental of Park Lake PA

Organization Dentist · NPI 1275997082

Access Dental of Park Lake PA provides Dentist services in Waco, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 Park Lake Dr
Waco, TX 76708-1682
Phone: (972) 514-1689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22334 (TX)

Record details

NPI number1275997082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tien Phan — Dentist · (972) 514-1689
NPI enumeratedApril 7, 2016
Last updated in NPPESOctober 25, 2021
Certification dateOctober 11, 2021
Mailing address8150 Springwood Dr # 150b, Irving, TX 75063-5810

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