NPI
Access Dental of Park Lake PA
NPI 1275997082
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2016-04-07
- Last updated
- 2021-10-25
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Specialties
Licenses
- License TX
- 22334
Location
- Practice location
- 1925 Park Lake Dr
- City
- Waco TX
- Postal code
- 76708-1682
- Phone
- (972) 514-1689
Organization contact
- Name
- Tien Phan
- Title
- Dentist
- Phone
- (972) 514-1689
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Waco, TX. 4,198 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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