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

Avery Ranch Family & Cosmetic Dentistry, PA

Organization Dentist · NPI 1114068996

Avery Ranch Family & Cosmetic Dentistry, PA is a Dentist in Austin, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12545 Riata Vista Circle MS 578-AWC
Austin, TX 78727
Phone: (512) 526-5126
Fax: (512) 583-0699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 21373 (TX)
Dentist Taxonomy 122300000X · Licence 19588 (TX)
Dentist Taxonomy 122300000X · Licence 20624 (TX)

Record details

NPI number1114068996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Lowery — President · (512) 658-1553
Other names Riata Dental
NPI enumeratedFebruary 12, 2007
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address12545 Riata Vista Circle Ms 578-Awc, Austin, TX 78727

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