Organization · Type 2 NPI

Avery Ranch Dental, PLLC

General Practice Dentistry · Austin, TX

NPI number 1417675372 Active

Practice location

15004 Avery Ranch Blvd # 100
Austin, TX 78717-4600

Call (512) 246-7645 Map

Mailing address

15660 Dallas Pkwy Ste 950
Dallas, TX 75248-3309

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Austin

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NPI record

NPI: 1417675372
Entity type: Organization (Type 2)
Issued: Aug 17, 2022
Last updated: Jan 28, 2026
Status: Active

Other names

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Avery Ranch Dental · doing business as
Avery Ranch Dental · doing business as

Authorized official

Amanda Lightfoot
Authorized Representative
(214) 702-0708

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About NPI 1417675372

Avery Ranch Dental, PLLC's National Provider Identifier is 1417675372, issued on Aug 17, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Austin, TX. The record was last updated on Jan 28, 2026.