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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKELINE RANCH DENTAL

Active Organization

LAKELINE RANCH DENTAL is a Preferred Provider Organization organization located in AUSTIN, Texas. NPI 1972926699 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · AUSTIN, TX

Registration Details

NPI Number
1972926699
Provider Type
Organization
NPI Issued
Jan 31, 2014 (12.567903316296 yrs)
Last Updated
Jan 31, 2014
License
25493 (TX)

Practice Information

Address
10900 LAKELINE MALL DR
SUITE 250
AUSTIN, TX, 787175924
Browse TX providers · Browse ZIP 78717
Phone
5125830700
Fax
5125830700
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization Organizations in AUSTIN, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.