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LAKE TRAVIS PEDIATRIC DENTISTRY
NPI 1508008590
Dentist - Pediatric Dentistry in Lakeway, TX

Active since April 06, 2009
1008 RR 620 S, SUITE # 201, LAKEWAY, TX 78734(512) 263-1000 Get Directions Write a Review

NPPES record last updated: April 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Travis Pediatric Dentistry NPPES

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

LAKE TRAVIS PEDIATRIC DENTISTRY (NPI 1508008590) is a healthcare organization registered as a pediatric dentistry in Lakeway, Texas and active in the NPI registry since April 2009. The organization lists Reza Arzegar, Vice President, as its authorized official.

NPPES Registry Identity

NPI1508008590
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLAKE TRAVIS PEDIATRIC DENTISTRY
Location Address1008 RR 620 S, SUITE # 201Lakeway, TX 78734-5631
Mailing Address1008 Rr 620 S, Suite # 201Lakeway, TX 78734-5631 · (512) 263-1000
Phone(512) 263-1000
Organization SubpartNo
Authorized OfficialReza ArzegarVice President · (512) 263-1000
Enumeration DateApril 6, 2009
✔ NPI 1508008590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 22434
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.
1008 RR 620 S, Lakeway, TX 78734
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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 Lake Travis Pediatric Dentistry's NPI number?

The NPI number for Lake Travis Pediatric Dentistry is 1508008590. It was assigned to this organization in the NPPES registry on April 6, 2009.

Where is Lake Travis Pediatric Dentistry located?

Lake Travis Pediatric Dentistry is located at 1008 Rr 620 S Suite # 201, Lakeway, TX 78734. The listed phone number is (512) 263-1000.

What is Lake Travis Pediatric Dentistry'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 Lake Travis Pediatric Dentistry was last updated on April 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.