OrganizationActive
Lakeshore Dental Studio
NPI 1972145407 · Dental Clinic/Center · Orlando, FL
Lakeshore Dental Studio is a Dental Clinic/Center organization in Orlando, FL (NPI 1972145407).
Provider details
- NPI number
- 1972145407
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Connor Van, Dentist(617) 416-8016
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1221 W Fairbanks Ave
Orlando, FL 32804-1205
Phone: (407) 794-1515
Street-level locationGet directions
Mailing address
1221 W Fairbanks Ave
Orlando, FL 32804-1205
Other names (DBA / former)
- Doing business as
- Lakeshore Dental
Registry dates
- Enumerated
- 2019-10-16
- Last updated
- 2019-10-16
Frequently asked questions
- What is Lakeshore Dental Studio's NPI number?
- Lakeshore Dental Studio's National Provider Identifier (NPI) is 1972145407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Dental Studio?
- Lakeshore Dental Studio is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeshore Dental Studio located?
- Lakeshore Dental Studio's practice location on file with NPPES is 1221 W Fairbanks Ave, Orlando, FL 32804-1205.
- What is Lakeshore Dental Studio's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Dental Studio is (407) 794-1515.
- Who is the authorized official for Lakeshore Dental Studio?
- The authorized official listed on Lakeshore Dental Studio's NPPES record is Connor Van, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Dental Studio's NPI active?
- Yes — Lakeshore Dental Studio's NPI (1972145407) is active in the NPPES registry as of the last update on 2019-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.