OrganizationActive
Lake Shore Dental Group PLLC
NPI 1093487555 · General Practice Dentistry · Waco, TX
Lake Shore Dental Group PLLC is a General Practice Dentistry organization in Waco, TX (NPI 1093487555).
Provider details
- NPI number
- 1093487555
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Bright Dental Associates LLC
- Organization subpart
- Yes
- Authorized official
- Traci Waldschmidt, Chief Operating Officer(254) 722-1083
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4535 Lake Shore Dr
Waco, TX 76710
Phone: (254) 776-7622
Fax: (254) 776-7673
Street-level locationGet directions
Mailing address
4535 Lake Shore Dr
Waco, TX 76710-1814
Other names (DBA / former)
- Other name
- Bright Dental Associates LLC
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Frequently asked questions
- What is Lake Shore Dental Group PLLC's NPI number?
- Lake Shore Dental Group PLLC's National Provider Identifier (NPI) is 1093487555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shore Dental Group PLLC?
- Lake Shore Dental Group PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lake Shore Dental Group PLLC located?
- Lake Shore Dental Group PLLC's practice location on file with NPPES is 4535 Lake Shore Dr, Waco, TX 76710.
- What is Lake Shore Dental Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Shore Dental Group PLLC is (254) 776-7622.
- Who is the authorized official for Lake Shore Dental Group PLLC?
- The authorized official listed on Lake Shore Dental Group PLLC's NPPES record is Traci Waldschmidt, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shore Dental Group PLLC's NPI active?
- Yes — Lake Shore Dental Group PLLC's NPI (1093487555) is active in the NPPES registry as of the last update on 2021-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.