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

Banyan Tree Dental, PA

Organization General Practice Dentistry · NPI 1689917106

Banyan Tree Dental, PA is a General Practice Dentistry in Austin, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
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

11416 Fm 620 Ste N Ste K
Austin, TX 78726-1165
Phone: (512) 382-7123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19143 (TX)

Record details

NPI number1689917106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Truong — President · (512) 382-7123
NPI enumeratedApril 3, 2013
Last updated in NPPESApril 3, 2013
Mailing address11416 Fm 620 Ste N, Suite K, Austin, TX 78726-1165

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