1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Dentist
  6. NPI Profile

LILAC DENTAL
NPI 1073391728
Dentist - General Practice in Austin, TX

Active since September 14, 2023
12314 N INTERSTATE 35 STE 110, AUSTIN, TX 78753(347) 631-0848 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lilac Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILAC DENTAL (NPI 1073391728) is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since September 2023. The organization lists Suman Kishore Kondragunta, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1073391728
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLILAC DENTAL PLLC
Location Address12314 N INTERSTATE 35 STE 110Austin, TX 78753-1349
Mailing Address15412 Cabrillo WayAustin, TX 78738-4128 · (347) 631-0848
Phone(347) 631-0848
Organization SubpartNo
Authorized OfficialSuman Kishore KondraguntaManaging Member · (347) 631-0848
Enumeration DateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1073391728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
12314 N INTERSTATE 35 STE 110, Austin, TX 78753
Open in Google Maps ↗

Other Names 1

Doing Business AsLilac Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Solstice Healthplans of Texas, Inc., UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilac Dental PLLC's NPI number?

The NPI number for Lilac Dental PLLC is 1073391728. It was assigned to this organization in the NPPES registry on September 14, 2023. The provider is doing business as Lilac Dental.

Where is Lilac Dental PLLC located?

Lilac Dental PLLC is located at 12314 N Interstate 35 Ste 110, Austin, TX 78753. The listed phone number is (347) 631-0848.

What is Lilac Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Lilac Dental PLLC accept?

Health plans from Solstice Healthplans of Texas, Inc. and UnitedHealthcare list Lilac Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lilac Dental PLLC was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.