Rad Cosmetic and Implant Dentistry PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

RAD COSMETIC AND IMPLANT DENTISTRY PLLC

Doing business as

Smile Boutique Implant Center

Practice address

7800 N Mopac Expy Ste 260
Austin, TX 78759-8961

Phone

(512) 458-5205

Fax

(512) 458-5206

NPI assigned

Jul 9, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Afsaneh Rad, DMD, MSC, MMSCNPI 1164823365

Title

Ceo

Phone

(512) 458-5205

Specialties & licenses 1

Addresses

Other names 1

• Smile Boutique Implant Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Afsaneh Andrea Rad, D.M.D., M.SC, M.M.SC

  • Prosthodontics
  • Austin, TX
  • NPI 1164823365
  NPD (past) Authorized official
• Richard Joseph Hlista, D.M.D.

  • Prosthodontics
  • Austin, TX
  • NPI 1689874612
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1083532535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC EXPY STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N MOPAC EXPY STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598961",
            "telephone_number": "512-458-5205",
            "fax_number": "512-458-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAD COSMETIC AND IMPLANT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "RAD",
        "authorized_official_first_name": "AFSANEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-458-5205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSC, MMSC"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Boutique Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Nudd Racine, MSN, APRN, FNP-C
• Jillian M. Racine, PHD
• Lindsay Racino, MA, LPC, RPT
• Mariana Racovita, PA-C
• Gabrielle Racz, LPC
• Afsaneh Andrea Rad, D.M.D., M.SC, M.M.SC
• Madison Rada, WHNP-BC
• Jason Michael Radam, RPH
• Stephanie Ann Radcliff, FNP-C
• Christine Michelle Radcliffe, MA, CCC-SLP

• Prosthodontics in Austin, TX
• Providers in Austin, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.