OrganizationActive
Lakeshore Dental Studio
NPI 1972145407 · Dental Clinic/Center · Orlando, FL
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(65/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.