CEDAR PARK PERIODONTICS PC NPI 1295939759

NPI Information

  • NPI: 1295939759
  • Provider Name: CEDAR PARK PERIODONTICS, PC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 209 DENALI PASS
    SUITE A
    CEDAR PARK, TX
    ZIP 78613
  • Phone: (512) 528-1400

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NPI Details

CEDAR PARK PERIODONTICS, PC is a periodontics dentist in Cedar Park, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CEDAR PARK PERIODONTICS, PC NPI is 1295939759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

209 DENALI PASS
SUITE A
CEDAR PARK, TX
ZIP 78613
Phone: (512) 528-1400
Fax: (512) 528-1466

The provider's authorized official is David Roy Reeves .
The authorized official title is President and has the following contact phone number (512) 528-1400.

The enumeration date for this NPI number is 6/11/2007 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
11223P0300XDentistPeriodontics21653TEXASYes

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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