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

Lilac Dental PLLC

Organization General Practice Dentistry · NPI 1073391728

Lilac Dental PLLC is a General Practice Dentistry in Austin, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

12314 N Interstate 35 Ste 110
Austin, TX 78753-1349
Phone: (347) 631-0848
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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
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1073391728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suman Kondragunta — Managing Member · (347) 631-0848
Other names Lilac Dental
NPI enumeratedSeptember 14, 2023
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing address15412 Cabrillo Way, Austin, TX 78738-4128

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