Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avery Ranch Dental, PLLC

Organization General Practice Dentistry · NPI 1417675372

Avery Ranch Dental, PLLC is a General Practice Dentistry in Austin, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15004 Avery Ranch Blvd # 100
Austin, TX 78717-4600
Phone: (512) 246-7645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1417675372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Lightfoot — Authorized Representative · (214) 702-0708
Other names Avery Ranch Dental; Avery Ranch Dental
NPI enumeratedAugust 17, 2022
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address15660 Dallas Pkwy Ste 950, Dallas, TX 75248-3309

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