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NORTH AUSTIN DENTAL GROUP PLLC NPI 1972961654


NPI Information

NPI: 1972961654
Provider Name: NORTH AUSTIN DENTAL GROUP PLLC

Doing Business As: SONRISA FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 45D1072116

Address:
1114A IH 35 N
ROUND ROCK, TX
ZIP 78681
Phone: (512) 468-3136
Get Directions

NORTH AUSTIN DENTAL GROUP PLLC 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. NORTH AUSTIN DENTAL GROUP PLLC NPI is 1972961654. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sonrisa Family Dentistry.

The provider's business location address is:

1114A IH 35 N
ROUND ROCK, TX
ZIP 78681-219
Phone: (512) 468-3136

The provider's authorized official is Andre Yassa .
The authorized official title is Owner and has the following contact phone number (832) 385-0379.

The CLIA number assigned to this NPI record is 45D1072116 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.


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 Practice21411TEXASYes

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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