# THIRD DENTITION PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clover Smile Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073373239
- **Authorized official:** KARNIK SHAH BDS, MS (OWNER)
- **Authorized official phone:** (614) 779-5126

## Contact information

- **Practice address:** 16009 FM 1325, AUSTIN, TX 78728-2876
- **Practice address phone:** (614) 779-5126
- **Mailing address:** 412 STAUNTON DR, LEANDER, TX 78641-5471
- **Mailing address phone:** (614) 779-5126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2024
- **Last updated:** 11/12/2024