OrganizationActive
Lone Star Pediatric Dental and Braces
NPI 1124464813 · Orthodontics and Dentofacial Orthopedics Dentistry · Austin, TX
Provider details
- NPI number
- 1124464813
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Marty Montgomery, Owner(512) 420-8889
- License
- 24217 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4201 Marathon Blvd
302
Austin, TX 78756-3436
Phone: (512) 206-2929
Street-level locationGet directions
Mailing address
4201 Marathon Blvd
Austin, TX 78756-3436
Registry dates
- Enumerated
- 2013-05-21
- Last updated
- 2013-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.