CENTRAL AUSTIN PEDIATRIC DENTAL PLLC NPI 1437437639

NPI Information

  • NPI: 1437437639
  • Provider Name: CENTRAL AUSTIN PEDIATRIC DENTAL, PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: LONE STAR PEDIATRIC DENTAL
  • Address: 1015 WEST 34TH ST.
    AUSTIN, TX
    ZIP 78705
  • Phone: (512) 206-2929

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NPI Details

CENTRAL AUSTIN PEDIATRIC DENTAL, PLLC is a pediatric dentistry dentist in Austin, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CENTRAL AUSTIN PEDIATRIC DENTAL, PLLC NPI is 1437437639. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lone Star Pediatric Dental.

The provider's business location address is:

1015 WEST 34TH ST.
AUSTIN, TX
ZIP 78705
Phone: (512) 206-2929
Fax: (512) 206-2920

The provider's authorized official is Marty Montgomery .
The authorized official title is Owner and has the following contact phone number (512) 206-2975.

The enumeration date for this NPI number is 7/22/2011 and was last updated on 12/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry24217TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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