Provider Demographics
NPI:1679957229
Name:AUSTIN COMFORT DENTAL
Entity Type:Organization
Organization Name:AUSTIN COMFORT DENTAL
Other - Org Name:PFLUGERVILLE SMILES DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BALARAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-966-3685
Mailing Address - Street 1:305 N HEATHERWILDE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4197
Mailing Address - Country:US
Mailing Address - Phone:512-686-2999
Mailing Address - Fax:
Practice Address - Street 1:305 N HEATHERWILDE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3757
Practice Address - Country:US
Practice Address - Phone:151-268-6299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty