Provider Type Icon

CARUS DENTAL PC NPI 1114477353


NPI Information

NPI: 1114477353
Provider Name: CARUS DENTAL PC

Doing Business As: CARUS SURGICAL CENTER ROUND ROCK

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 45D2054459

Address:
16000 PARK VALLEY DR STE 160
ROUND ROCK, TX
ZIP 78681
Phone: (512) 733-8308
Get Directions

CARUS DENTAL PC is an oral and maxillofacial surgery dentist in Round Rock, 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 PC NPI is 1114477353. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carus Surgical Center Round Rock.

The provider's business location address is:

16000 PARK VALLEY DR STE 160
ROUND ROCK, TX
ZIP 78681-009
Phone: (512) 733-8308
Fax: (512) 310-0451

The provider's authorized official is Celia Hayes .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-2100.

The CLIA number assigned to this NPI record is 45D2054459 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 1/19/2022.


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
11223S0112XDentistOral and Maxillofacial Surgery15919TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.