Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ideal Dental South Park Meadows PLLC

Organization Dentist · NPI 1457246050

Ideal Dental South Park Meadows PLLC provides Dentist services in Austin, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 W Slaughter Ln Ste 103
Austin, TX 78748
Phone: (512) 271-9396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1457246050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Canava — Vp Revenue Cycle · (972) 331-8079
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateMay 27, 2025
Mailing address12750 Merit Dr Ste 1100, Dallas, TX 75251-1302

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