OrganizationActive
Sd Park Lake PLLC
NPI 1164111241 · General Practice Dentistry · Waco, TX
Sd Park Lake PLLC is a General Practice Dentistry organization in Waco, TX (NPI 1164111241).
Provider details
- NPI number
- 1164111241
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lynhthy Pham, Owner(469) 902-6792
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1925 Park Lake Dr
Waco, TX 76708-1682
Phone: (254) 221-0999
Street-level locationGet directions
Mailing address
Po Box 453247
Garland, TX 75045-3247
Registry dates
- Enumerated
- 2023-05-03
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Frequently asked questions
- What is Sd Park Lake PLLC's NPI number?
- Sd Park Lake PLLC's National Provider Identifier (NPI) is 1164111241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sd Park Lake PLLC?
- Sd Park Lake PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Sd Park Lake PLLC located?
- Sd Park Lake PLLC's practice location on file with NPPES is 1925 Park Lake Dr, Waco, TX 76708-1682.
- What is Sd Park Lake PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sd Park Lake PLLC is (254) 221-0999.
- Who is the authorized official for Sd Park Lake PLLC?
- The authorized official listed on Sd Park Lake PLLC's NPPES record is Lynhthy Pham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sd Park Lake PLLC's NPI active?
- Yes — Sd Park Lake PLLC's NPI (1164111241) is active in the NPPES registry as of the last update on 2023-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.