MEDICARE: LAKES DENTAL FW PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1306555032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKES DENTAL FW PLLC

Provider Business Mailing Address
First Line	:	5729 LEBANON RD STE 144268
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-7260
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4968 OVERTON RIDGE BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-1909
Country	:	US
Telephone Number	:	817-263-0181
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CECILE NGUYEN
Credential	:
Telephone Number	:	972-896-9386

Provider Enumeration Date	:	11/21/2022
Last Update Date	:	12/15/2022

Similar Medicare Providers

1073554606 — DR. LIEN TRAN GRIFFIN O.D
Practice Location Address:

4950 OVERTON RIDGE BLVD
FORT WORTH, TX
76132-1909

Practice Phone: 817-294-3371
Practice Fax: 817-294-1534

1043237647 — HARRY ROSENTHAL JR. MD
Practice Location Address:

4932 OVERTON RIDGE BLVD
FORT WORTH, TX
76132-1909

Practice Phone: 817-423-3937
Practice Fax: 817-423-3943

1528074754 — DR. STEVEN M HUFFSTUTLER DDS
Practice Location Address:

4968 OVERTON RIDGE BLVD
FORT WORTH, TX
76132-1909

Practice Phone: 817-263-0181
Practice Fax: 817-292-8232

1063720654 — TEXAS HEALTH CARE, P.L.L.C.
Practice Location Address:

4950 OVERTON RIDGE BLVD.
FORT WORTH, TX
76132-1909

Practice Phone: 817-423-2020
Practice Fax: 817-423-2040

1073936084 — LAKE FAMILY AND COSMETIC DENTISTRY
Practice Location Address:

4968 OVERTON RIDGE BLVD
FORT WORTH, TX
76132-1909

Practice Phone: 817-263-0181
Practice Fax:

1942823133 — KELLI HALBERT PT
Practice Location Address:

5608 MOUNTAIN ISLAND DR
FORT WORTH, TX
76179-1909

Practice Phone: 903-217-3504
Practice Fax:

Directions to “LAKES DENTAL FW PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.