RISING STARS PEDIATRIC DENTISTRY PLLC NPI 1730282633

NPI Information

  • NPI: 1730282633
  • Provider Name: RISING STARS PEDIATRIC DENTISTRY, PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 4308 N QUINLAN PARK
    STE 201
    AUSTIN, TX
    ZIP 78732
  • Phone: (512) 266-7200

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NPI Details

RISING STARS PEDIATRIC DENTISTRY, 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. RISING STARS PEDIATRIC DENTISTRY, PLLC NPI is 1730282633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4308 N QUINLAN PARK
STE 201
AUSTIN, TX
ZIP 78732
Phone: (512) 266-7200
Fax: (512) 266-6197

The provider's authorized official is Michelle L Freeze .
The authorized official title is Pediatric Dentist and has the following contact phone number (512) 266-7200.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/17/2008.

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 DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11620639OTHERUNITED CONCORDIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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