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AUSTIN PROFESSIONAL DENTAL NPI 1194021154


NPI Information

NPI: 1194021154
Provider Name: AUSTIN PROFESSIONAL DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
615 W SLAUGHTER LN
SUITE 117
AUSTIN, TX
ZIP 78748
Phone: (512) 233-6825
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AUSTIN PROFESSIONAL DENTAL is a general practice dentist in Austin, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. AUSTIN PROFESSIONAL DENTAL NPI is 1194021154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

615 W SLAUGHTER LN
SUITE 117
AUSTIN, TX
ZIP 78748-094
Phone: (512) 233-6825

The provider's authorized official is Jazmin Nolen .
The authorized official title is Executive Assistant and has the following contact phone number (972) 982-8490.

The enumeration date for this NPI number is 2/8/2011 and was last updated on 2/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice22958TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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