# LAKEWAY DENTAL SOLUTIONS. LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKEWAY DENTAL SOLUTIONS. LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538749270
- **Legal business name:** LAKEWAY DENTAL SOLUTIONS. LLC
- **Authorized official:** MR. BRENT D DUPPER DDS (DENTIST/ OWNER)
- **Authorized official phone:** (512) 263-0064

## Contact information

- **Practice address:** 1310 RANCH ROAD 620 SOUTH, STE. B6, LAKEWAY, TX 78734
- **Practice address phone:** (512) 263-0064
- **Practice address fax:** (512) 263-2402
- **Mailing address:** 1310 RANCH ROAD 620 SOUTH, STE. B6, LAKEWAY, TX 78734
- **Mailing address phone:** (512) 263-0064
- **Mailing address fax:** (512) 263-2402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2021
- **Last updated:** 04/08/2021