OrganizationActive
Access Dental of Park Lake PA
NPI 1275997082 · Dentist · Waco, TX
Access Dental of Park Lake PA is a Dentist organization in Waco, TX (NPI 1275997082).
Provider details
- NPI number
- 1275997082
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Tien Phan, Dentist(972) 514-1689
- License
- 22334 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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: (972) 514-1689
Street-level locationGet directions
Mailing address
8150 Springwood Dr # 150b
Irving, TX 75063-5810
Registry dates
- Enumerated
- 2016-04-07
- Last updated
- 2021-10-25
- Certified
- 2021-10-11
Frequently asked questions
- What is Access Dental of Park Lake PA's NPI number?
- Access Dental of Park Lake PA's National Provider Identifier (NPI) is 1275997082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Access Dental of Park Lake PA?
- Access Dental of Park Lake PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Access Dental of Park Lake PA located?
- Access Dental of Park Lake PA's practice location on file with NPPES is 1925 Park Lake Dr, Waco, TX 76708-1682.
- What is Access Dental of Park Lake PA's phone number?
- The practice phone number listed in the NPPES registry for Access Dental of Park Lake PA is (972) 514-1689.
- Who is the authorized official for Access Dental of Park Lake PA?
- The authorized official listed on Access Dental of Park Lake PA's NPPES record is Tien Phan, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Access Dental of Park Lake PA's NPI active?
- Yes — Access Dental of Park Lake PA's NPI (1275997082) is active in the NPPES registry as of the last update on 2021-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.