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LOTUS DENTAL OF TEXAS
NPI 1114593647
Dentist - General Practice in Georgetown, TX

Active since June 03, 2021
9073 W STATE HWY 29, GEORGETOWN, TX 78628(512) 299-3806 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lotus Dental Of Texas NPPES

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

LOTUS DENTAL OF TEXAS (NPI 1114593647), doing business as Prime Dental Of Liberty Hill, is a healthcare organization registered as a general practice in Georgetown, Texas and active in the NPI registry since June 2021. The organization lists Deepam Tiwan, Access Manager, as its authorized official.

NPPES Registry Identity

NPI1114593647
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLOTUS DENTAL OF TEXAS
Location Address9073 W STATE HWY 29Georgetown, TX 78628
Mailing Address117 Latitude LnAustin, TX 78717-4939
Phone(512) 299-3806
Organization SubpartNo
Authorized OfficialDeepam TiwanAccess Manager · (512) 299-3806
Enumeration DateJune 3, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1114593647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
9073 W STATE HWY 29, Georgetown, TX 78628
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Other Names 1

Doing Business AsPrime Dental Of Liberty Hill

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Lotus Dental Of Texas's NPI number?

The NPI number for Lotus Dental Of Texas is 1114593647. It was assigned to this organization in the NPPES registry on June 3, 2021. The provider is doing business as Prime Dental of Liberty Hill.

Where is Lotus Dental Of Texas located?

Lotus Dental Of Texas is located at 9073 W State Hwy 29, Georgetown, TX 78628. The listed phone number is (512) 299-3806.

What is Lotus Dental Of Texas's specialty?

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

What insurance does Lotus Dental Of Texas accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Lotus Dental Of Texas 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 Lotus Dental Of Texas was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.