Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Shore Dental Group PLLC

Organization General Practice Dentistry · NPI 1093487555

Lake Shore Dental Group PLLC provides General Practice Dentistry in Waco, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4535 Lake Shore Dr
Waco, TX 76710
Phone: (254) 776-7622
Fax: (254) 776-7673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1093487555
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBright Dental Associates LLC
Authorized official Traci Waldschmidt — Chief Operating Officer · (254) 722-1083
Other names Bright Dental Associates Llc
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address4535 Lake Shore Dr, Waco, TX 76710-1814

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