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LYDIAN DENTAL BURNET PLLC NPI 1225537111


NPI Information

NPI: 1225537111
Provider Name: LYDIAN DENTAL BURNET PLLC

Doing Business As: BURNET ROAD FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5531 BURNET RD
AUSTIN, TX
ZIP 78756
Phone: (480) 560-5183
Get Directions

LYDIAN DENTAL BURNET PLLC 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. LYDIAN DENTAL BURNET PLLC NPI is 1225537111. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Burnet Road Family Dental.

The provider's business location address is:

5531 BURNET RD
AUSTIN, TX
ZIP 78756
Phone: (480) 560-5183

The provider's authorized official is Pam Buckhanan .
The authorized official title is Insurance Coordinator and has the following contact phone number (480) 560-5183.

The enumeration date for this NPI number is 2/6/2018 and was last updated on 2/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice5904ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11144355629OTHERARIZONANPI

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: 4/28/2024

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