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ATX DENTAL GROUP PLLC NPI 1659725349


NPI Information

NPI: 1659725349
Provider Name: ATX DENTAL GROUP, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3100 S CONGRESS AVE # 1F
AUSTIN, TX
ZIP 78704
Phone: (512) 240-6054
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ATX 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. ATX DENTAL GROUP, PLLC NPI is 1659725349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3100 S CONGRESS AVE # 1F
AUSTIN, TX
ZIP 78704-427
Phone: (512) 240-6054

The provider's authorized official is Victoria Gutwein .
The authorized official title is Office Manager and has the following contact phone number (512) 340-6054.

The enumeration date for this NPI number is 4/19/2016 and was last updated on 4/19/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice30301TEXASYes

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
13509861-03MEDICAIDTEXAS

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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