NPI: 1821341660
Provider Name: CARUS DENTAL
Other Name: ROUND ROCK, PARK VALLEY DRIVE SPECIALTY
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
CLIA Number: 45D2239543
Address:
7517 CAMERON RD
SUITE 107
AUSTIN, TX
ZIP 78752
Phone: (512) 371-1222
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CARUS DENTAL is an oral and maxillofacial surgery dentist in Austin, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CARUS DENTAL NPI is 1821341660. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Round Rock, Park Valley Drive Specialty.
The provider's business location address is:
7517 CAMERON RD
SUITE 107
AUSTIN, TX
ZIP 78752-057
Phone: (512) 371-1222
Fax: (512) 371-3914
The provider's authorized official is Malcolm Ray Scott .
The authorized official title is President and has the following contact phone number (512) 371-1222.
The CLIA number assigned to this NPI record is 45D2239543 - other - private school with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/17/2012 and was last updated on 10/17/2012.