Healthcare Provider Details

I. General information

NPI: 1396680708
Provider Name (Legal Business Name): GIL ORTHODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W HIGHWAY 290 STE 107
DRIPPING SPRINGS TX
78620-4590
US

IV. Provider business mailing address

115 DRURY LN
AUSTIN TX
78737-4666
US

V. Phone/Fax

Practice location:
  • Phone: 210-632-5164
  • Fax:
Mailing address:
  • Phone: 210-632-5164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. AVERY GIL
Title or Position: ORTHODONTIST/OWNER
Credential: DDS, MS
Phone: 210-632-5164