LAKE TRAVIS DENTISTRY
NPI 1790047215
Dentist - General Practice in Lakeway, TX

Q: What is Lake Travis Family & Cosmetic Dentistry PLLC's specialty?

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

Active since June 11, 2012

1605 RR 620 N, STE 300, LAKEWAY, TX 78734(512) 382-6985 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Travis Dentistry NPPES

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

LAKE TRAVIS DENTISTRY (NPI 1790047215) is a healthcare organization registered as a general practice in Lakeway, Texas and active in the NPI registry since June 2012. The organization lists David Panahi, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1790047215

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLAKE TRAVIS FAMILY & COSMETIC DENTISTRY PLLC

Location Address1605 RR 620 N, STE 300Lakeway, TX 78734-2695

Mailing Address1605 Rr 620 N, Ste 300Lakeway, TX 78734-2695 · (512) 382-6985

Phone(512) 382-6985

Organization SubpartNo

Authorized OfficialDavid PanahiOwner/dentist · (512) 382-6985

Enumeration DateJune 11, 2012

✔ NPI 1790047215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 23378

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.

1605 RR 620 N, Lakeway, TX 78734

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Other Names 1

Doing Business AsLake Travis 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 Lake Travis Family & Cosmetic Dentistry PLLC's NPI number?

The NPI number for Lake Travis Family & Cosmetic Dentistry PLLC is 1790047215. It was assigned to this organization in the NPPES registry on June 11, 2012. The provider is doing business as Lake Travis Dentistry.

Where is Lake Travis Family & Cosmetic Dentistry PLLC located?

Lake Travis Family & Cosmetic Dentistry PLLC is located at 1605 Rr 620 N Ste 300, Lakeway, TX 78734. The listed phone number is (512) 382-6985.

What is Lake Travis Family & Cosmetic Dentistry 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 Lake Travis Family & Cosmetic Dentistry PLLC was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.