# VISTA RIDGE FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Ridge Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316657786
- **Authorized official:** DR. WILLIAM R JENNINGS DDS (OWNER)
- **Authorized official phone:** (940) 206-8956

## Contact information

- **Practice address:** 920 N VISTA RIDGE BLVD STE 700, CEDAR PARK, TX 78613-7988
- **Practice address phone:** (512) 402-7811
- **Mailing address:** 2109 COMMERCE ST \# 200, DALLAS, TX 75201-4305
- **Mailing address phone:** (972) 248-1221

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2022
- **Last updated:** 06/26/2026