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ROSE DENTAL GROUP PLLC NPI 1366500803


NPI Information

NPI: 1366500803
Provider Name: ROSE DENTAL GROUP PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11615 ANGUS RD
STE 210
AUSTIN, TX
ZIP 78579
Phone: (512) 795-9643
Get Directions

ROSE DENTAL GROUP 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. ROSE DENTAL GROUP PLLC NPI is 1366500803. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11615 ANGUS RD
STE 210
AUSTIN, TX
ZIP 78579
Phone: (512) 795-9643
Fax: (512) 795-9959

The provider's authorized official is Sergio Escobar .
The authorized official title is Partner Owner and has the following contact phone number (512) 795-9643.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/22/2020.


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 PracticeYes
21223P0106XDentistOral and Maxillofacial PathologyX
31223P0221XDentistPediatric DentistryX

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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