Provider Demographics
NPI:1306924261
Name:L & S DENTAL GROUP PLLC
Entity type:Organization
Organization Name:L & S DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:254-776-5727
Mailing Address - Street 1:6400 COBBS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2571
Mailing Address - Country:US
Mailing Address - Phone:254-776-5727
Mailing Address - Fax:254-772-8724
Practice Address - Street 1:6400 COBBS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-2571
Practice Address - Country:US
Practice Address - Phone:254-776-5727
Practice Address - Fax:254-772-8724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty