Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banyan Tree Dental, PA

Organization General Practice Dentistry · NPI 1689917106

Banyan Tree Dental, PA provides General Practice Dentistry in Austin, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11416 Fm 620 Ste N Ste K
Austin, TX 78726-1165 Not confirmed with CMS for 13 years — call before visiting
Phone: (512) 382-7123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19143 (TX)

Record details

NPI number1689917106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Truong — President · (512) 382-7123
NPI enumeratedApril 3, 2013
Last updated in NPPESApril 3, 2013
Mailing address11416 Fm 620 Ste N, Suite K, Austin, TX 78726-1165

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