Provider Demographics
NPI:1891678264
Name:AK DENTAL OF NORTH AUSTIN PLLC
Entity type:Organization
Organization Name:AK DENTAL OF NORTH AUSTIN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEVISREE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEKKANTI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:512-827-9958
Mailing Address - Street 1:10000 RESEARCH BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5816
Mailing Address - Country:US
Mailing Address - Phone:512-827-9958
Mailing Address - Fax:512-827-9957
Practice Address - Street 1:10000 RESEARCH BLVD STE 260
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5816
Practice Address - Country:US
Practice Address - Phone:512-827-9958
Practice Address - Fax:512-827-9957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental