SHANE ISTRE DENTAL ASSOCIATES NPI 1144312836

NPI Information

SHANE ISTRE DENTAL ASSOCIATES 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. SHANE ISTRE DENTAL ASSOCIATES NPI is 1144312836. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Smile Center Pa.

The provider's business location address is:

1144 AIRPORT BLVD
#240
AUSTIN, TX
ZIP 78702
Phone: (512) 929-7888
Fax: (512) 929-8091

The provider's authorized official is Michael Shayne Istre .
The authorized official title is Owner President and has the following contact phone number (512) 535-8911.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 8/28/2008.

Taxonomy Codes

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Other Identifiers

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