AVERY RANCH DENTAL, PLLC
NPI 1417675372
Dentist - General Practice in Austin, TX

Q: What is Avery Ranch Dental, PLLC's NPI number?

The NPI number for Avery Ranch Dental, PLLC is 1417675372. It was assigned to this organization in the NPPES registry on August 17, 2022. The provider is doing business as Avery Ranch Dental.

Q: What is Avery Ranch Dental, PLLC's specialty?

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

Active since August 17, 2022

15004 AVERY RANCH BLVD # 100, AUSTIN, TX 78717(512) 246-7645 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Oct 20, 2023, Dec 14, 2022 and 1 more (4 updates tracked since 2022).

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About Avery Ranch Dental, Pllc NPPES

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

AVERY RANCH DENTAL, PLLC (NPI 1417675372), doing business as Avery Ranch Dental, is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since August 2022. The organization lists Amanda Lightfoot, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1417675372

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameAVERY RANCH DENTAL, PLLC

Location Address15004 AVERY RANCH BLVD # 100Austin, TX 78717-4600

Mailing Address15660 Dallas Pkwy Ste 950Dallas, TX 75248-3309 · (512) 246-7645

Phone(512) 246-7645

Organization SubpartNo

Authorized OfficialAmanda LightfootAuthorized Representative · (214) 702-0708

Enumeration DateAugust 17, 2022

Last NPPES UpdateJanuary 28, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1417675372 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.

15004 AVERY RANCH BLVD # 100, Austin, TX 78717

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Other Names 1

Doing Business AsAvery Ranch 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 Avery Ranch Dental, PLLC's NPI number?

The NPI number for Avery Ranch Dental, PLLC is 1417675372. It was assigned to this organization in the NPPES registry on August 17, 2022. The provider is doing business as Avery Ranch Dental.

Where is Avery Ranch Dental, PLLC located?

Avery Ranch Dental, PLLC is located at 15004 Avery Ranch Blvd # 100, Austin, TX 78717. The listed phone number is (512) 246-7645.

What is Avery Ranch Dental, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Avery Ranch Dental, PLLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.