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

Manzanita Kids Dentistry & Orthodontics, PLLC

Organization Pediatric Dentistry · NPI 1104209535

Manzanita Kids Dentistry & Orthodontics, PLLC is a Pediatric Dentistry in Austin, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
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

11800 Dessau Rd Ste 203
Austin, TX 78754-2154
Phone: (210) 884-5750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 21450 (TX)

Record details

NPI number1104209535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gloria Yanez — Pediatric Dentist · (210) 884-5750
NPI enumeratedJuly 2, 2015
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address11800 Dessau Rd Ste 203, Austin, TX 78754-2187

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