NPI age
12 years
Enumerated 2013-07-23
● Active Type 2 · Organization
Lakeline Mall Family Dental
Lakeline Mall Family Dental is 1 of 9237 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cordon
Manager
Last NPPES update
2013-07-23
Source: monthly bulk 2026-05
How this organization compares
Across 9237 active dentist providers in Texas.
NPI age
12 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
11200 Lakeline Mall Dr, Suite B01
Cedar Park, TX 786131501
Mailing address
11200 Lakeline Mall Dr, Suite B01
Cedar Park, TX 786131501
Authorized official
Justin Cordon
Manager
📞 2143909948
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Peter Pak, O.D. Optometrist NPI 1013145036
- Meera Sampat, OD Optometrist NPI 1417469412
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.