ACRE WOOD DENTAL - ROUND ROCK PA NPI 1801578919

NPI Information

NPI: 1801578919
Provider Name: ACRE WOOD DENTAL - ROUND ROCK PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
15930 S GREAT OAKS DR STE A100
ROUND ROCK, TX
ZIP 78681
Phone: (512) 910-3456
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ACRE WOOD DENTAL - ROUND ROCK PA is a dental clinic center in Round Rock, TX. ACRE WOOD DENTAL - ROUND ROCK PA NPI is 1801578919. The provider is registered as an organization entity type.

The provider's business location address is:

15930 S GREAT OAKS DR STE A100
ROUND ROCK, TX
ZIP 78681-686
Phone: (512) 910-3456
Fax: (512) 910-3353

The provider's authorized official is Benjamin Johnson .
The authorized official title is Owner and has the following contact phone number (254) 799-5461.

The enumeration date for this NPI number is 8/7/2023 and was last updated on 8/7/2023.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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