# LAGO VISTA FAMILY DENTISTRY, 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275166605
- **Authorized official:** DR. TARAN BHATIA DDS (OWNER)
- **Authorized official phone:** (512) 277-3311

## Contact information

- **Practice address:** 8008 BRONCO LN STE B, LAGO VISTA, TX 78645-4151
- **Practice address phone:** (512) 277-3311
- **Practice address fax:** (512) 727-7943
- **Mailing address:** 8008 BRONCO LN STE B, LAGO VISTA, TX 78645-4151
- **Mailing address phone:** (512) 277-3311
- **Mailing address fax:** (512) 727-7943

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2020
- **Last updated:** 02/13/2020