# LAKE AUSTIN FAMILY DENTAL, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Austin Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144557497
- **Authorized official:** JAQUELYN MORRIS DDS (OWNER)
- **Authorized official phone:** (512) 474-5233

## Contact information

- **Practice address:** 2504 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4455
- **Practice address phone:** (512) 474-5233
- **Mailing address:** 2504 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2009
- **Last updated:** 11/06/2009