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

Beau D Blankenship, DDS, PC

Organization General Practice Dentistry · NPI 1104190594

Beau D Blankenship, DDS, PC is a General Practice Dentistry in Cedar Park, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11200 Lakeline Mall Dr #B1
Cedar Park, TX 78613-1501
Phone: (512) 448-4867
Fax: (512) 335-7668
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22816 (TX)

Record details

NPI number1104190594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beau Blankenship — Owner/President · (210) 722-9274
Other names Lakeline Mall Family Dental
NPI enumeratedMarch 1, 2012
Last updated in NPPESMarch 1, 2012
Mailing address1215 Sledge Dr, Austin, TX 78734-6373

Other providers in Cedar Park