Organization · Type 2 NPI

Manzanita Kids Dentistry & Orthodontics, PLLC

Pediatric Dentistry · Austin, TX

NPI number 1104209535 Active

Practice location

11800 Dessau Rd, Suite 203
Austin, TX 78754-2154

Call (210) 884-5750 Map

Mailing address

11800 Dessau Rd Ste 203
Austin, TX 78754-2187

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X21450 (TX)

Pediatric Dentistry: 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.

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About NPI 1104209535

Manzanita Kids Dentistry & Orthodontics, PLLC's National Provider Identifier is 1104209535, issued on Jul 2, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Austin, TX. The record was last updated on Jun 9, 2025.