Lake Kiowa Family Dental, PLLC
Lake Kiowa Family Dental, PLLC provides Dental Clinic/Center services in Lake Kiowa, Texas. Licensed in Texas. Registered with an NPI since 2015.
- Licensed in
- TX
- In the registry since
- 2015
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 Kiowa Dr W Ste 200Lake Kiowa, TX 76240-9584 Not confirmed with CMS for 10 years — call before visiting
Phone: (940) 612-1555
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 24498 (TX) |
|---|
Record details
| NPI number | 1528423266 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Bayne — Dentist · (940) 612-1555 |
| NPI enumerated | December 23, 2015 |
| Last updated in NPPES | December 23, 2015 |
| Mailing address | 100 Kiowa Dr W, Suite 200, Lake Kiowa, TX 76240-9584 |