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LAKELINE RISING STARS PEDIATRIC DENTISTRY
NPI 1447595855
Dentist - Pediatric Dentistry in Austin, TX

Active since December 11, 2012
14005 N. HWY 183, #800, AUSTIN, TX 78717(512) 266-7200(512) 583-0675 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeline Rising Stars Pediatric Dentistry NPPES

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

LAKELINE RISING STARS PEDIATRIC DENTISTRY (NPI 1447595855) is a healthcare organization registered as a pediatric dentistry in Austin, Texas and active in the NPI registry since December 2012. The organization lists Jeffrey B Gregerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1447595855
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameROCK THAT SMILE PEDIATRIC DENTISTRY PLLC
Location Address14005 N. HWY 183, #800Austin, TX 78717
Mailing Address14005 N. Hwy 183, # 800Austin, TX 78717 · (512) 266-7200 · Fax (512) 583-0675
Phone(512) 266-7200
Fax(512) 583-0675
Organization SubpartNo
Authorized OfficialJeffrey B GregersonOwner · (512) 266-7200
Enumeration DateDecember 11, 2012
Last NPPES UpdateMarch 17, 2015
✔ NPI 1447595855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
14005 N. HWY 183, Austin, TX 78717
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Other Names 1

Doing Business AsLakeline Rising Stars Pediatric Dentistry

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

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 Rock That Smile Pediatric Dentistry PLLC's NPI number?

The NPI number for Rock That Smile Pediatric Dentistry PLLC is 1447595855. It was assigned to this organization in the NPPES registry on December 11, 2012. The provider is doing business as Lakeline Rising Stars Pediatric Dentistry.

Where is Rock That Smile Pediatric Dentistry PLLC located?

Rock That Smile Pediatric Dentistry PLLC is located at 14005 N. Hwy 183 #800, Austin, TX 78717. The listed phone number is (512) 266-7200.

What is Rock That Smile Pediatric Dentistry 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 Rock That Smile Pediatric Dentistry PLLC was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.