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

Ideal Dental South Park Meadows PLLC

Organization Dentist · NPI 1457246050

Ideal Dental South Park Meadows PLLC is a Dentist in Austin, Texas. Registered with an NPI since 2025.

In the registry since
2025
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

200 W Slaughter Ln Ste 103
Austin, TX 78748
Phone: (512) 271-9396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1457246050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Canava — Vp Revenue Cycle · (972) 331-8079
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateMay 27, 2025
Mailing address12750 Merit Dr Ste 1100, Dallas, TX 75251-1302

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