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LONE STAR PEDIATRIC DENTAL
NPI 1104364710
Dentist - Pediatric Dentistry in Austin, TX

Active since February 02, 2017
5900 W SLAUGHTER LN STE 470, AUSTIN, TX 78749(512) 206-2929 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lone Star Pediatric Dental NPPES

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

LONE STAR PEDIATRIC DENTAL (NPI 1104364710) is a healthcare organization registered as a pediatric dentistry in Austin, Texas and active in the NPI registry since February 2017. The organization lists Marty Montgomery, Owner, as its authorized official.

NPPES Registry Identity

NPI1104364710
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLSPD AT CIRCLE C, PLLC
Location Address5900 W SLAUGHTER LN STE 470Austin, TX 78749-6513
Mailing Address505 E Huntland Dr Ste 340Austin, TX 78752-3745
Phone(512) 206-2929
Organization SubpartNo
Authorized OfficialMarty MontgomeryOwner · (512) 206-2975
Enumeration DateFebruary 2, 2017
✔ NPI 1104364710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
5900 W SLAUGHTER LN STE 470, Austin, TX 78749
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Other Names 1

Doing Business AsLone Star Pediatric Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Lspd At Circle C, PLLC's NPI number?

The NPI number for Lspd At Circle C, PLLC is 1104364710. It was assigned to this organization in the NPPES registry on February 2, 2017. The provider is doing business as Lone Star Pediatric Dental.

Where is Lspd At Circle C, PLLC located?

Lspd At Circle C, PLLC is located at 5900 W Slaughter Ln Ste 470, Austin, TX 78749. The listed phone number is (512) 206-2929.

What is Lspd At Circle C, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Lspd At Circle C, PLLC was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.