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

Lakeline Mall Fdc PA

Organization Dentist · NPI 1275791410

Lakeline Mall Fdc PA provides Dentist services in Cedar Park, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
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

11200 Lakeline Mall Dr Ste B1
Cedar Park, TX 78613-1502 Not confirmed with CMS for 18 years — call before visiting
Phone: (512) 448-4867
Fax: (512) 335-7668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0008481 (TX)

Record details

NPI number1275791410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Armstrong — Regional Manager · (505) 328-4857
NPI enumeratedMay 23, 2008
Last updated in NPPESMay 23, 2008
Mailing address11200 Lakeline Mall Dr, Ste B1, Cedar Park, TX 78613-1502

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