CENTRAL TEXAS ORAL SURGERY ASSC. NPI 1114018124

NPI Information

  • NPI: 1114018124
  • Provider Name: CENTRAL TEXAS ORAL SURGERY ASSC.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 3200 RED RIVER
    #400
    AUSTIN, TX
    ZIP 78705
  • Phone: (512) 320-1640

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NPI Details

CENTRAL TEXAS ORAL SURGERY ASSC. 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. CENTRAL TEXAS ORAL SURGERY ASSC. NPI is 1114018124. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3200 RED RIVER
#400
AUSTIN, TX
ZIP 78705
Phone: (512) 320-1640
Fax: (512) 320-1643

The provider's authorized official is Franklin Samuel Bonasso .
The authorized official title is Oral Surgeon and has the following contact phone number (512) 320-1640.

The enumeration date for this NPI number is 9/27/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery18515TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10015705OTHERTEXASASSURANT
2D18515OTHERTEXASBLUE CROSS BLUE SHIELD

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: 11/21/2025

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