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NORTHWEST DENTAL ASSOCIATES P.A. NPI 1093196644


NPI Information

NPI: 1093196644
Provider Name: NORTHWEST DENTAL ASSOCIATES P.A.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 45D0972213

Address:
11066 PECAN PARK BLVD.
SUITE #411
CEDAR PARK, TX
ZIP 78613
Phone: (512) 219-7484
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NORTHWEST DENTAL ASSOCIATES P.A. is a general practice dentist in Cedar Park, 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. NORTHWEST DENTAL ASSOCIATES P.A. NPI is 1093196644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11066 PECAN PARK BLVD.
SUITE #411
CEDAR PARK, TX
ZIP 78613
Phone: (512) 219-7484
Fax: (512) 219-6505

The provider's authorized official is Toai C. Pham .
The authorized official title is Doctor/owner and has the following contact phone number (512) 219-7484.

The CLIA number assigned to this NPI record is 45D0972213 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2015 and was last updated on 6/9/2015.


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 Practice18096TEXASYes

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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