Lakeshore Dental Care, Pllc
NPI #1154298776 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1154298776
- Entity Type
- Organization
- Organization Name
- Lakeshore Dental Care, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 20, 2025
- Last Updated
- Oct 20, 2025
Practice Location
- Address
- 4695 OLD CANOE CREEK RD
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-1550
- Phone
- (407) 957-6760
Authorized Official
- Name
- CASEY CASTLE
- Title
- DIRECTOR OF PAYOR CONTRACTS
- Phone
- (912) 732-1504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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