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ROUND ROCK MODERN DENTISTRY PC NPI 1346646981


NPI Information

NPI: 1346646981
Provider Name: ROUND ROCK MODERN DENTISTRY, PC

Doing Business As: ROUND ROCK MODERN DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2150 E PALM VALLEY BLVD
SUITE 500
ROUND ROCK, TX
ZIP 78665
Phone: (512) 218-1900
Get Directions

ROUND ROCK MODERN DENTISTRY, PC is a general practice dentist in Round Rock, 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. ROUND ROCK MODERN DENTISTRY, PC NPI is 1346646981. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Round Rock Modern Dentistry.

The provider's business location address is:

2150 E PALM VALLEY BLVD
SUITE 500
ROUND ROCK, TX
ZIP 78665-529
Phone: (512) 218-1900
Fax: (512) 218-1901

The provider's authorized official is John S Barnes .
The authorized official title is Owner and has the following contact phone number (512) 218-1900.

The enumeration date for this NPI number is 11/10/2014 and was last updated on 11/10/2014.


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 PracticeYes

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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