EAST AUSTIN DENTAL NPI 1417485244

NPI Information

NPI: 1417485244
Provider Name: EAST AUSTIN DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1000 E 5TH ST STE 110
AUSTIN, TX
ZIP 78702
Phone: (512) 499-0067
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EAST AUSTIN DENTAL is a dental clinic center in Austin, TX. EAST AUSTIN DENTAL NPI is 1417485244. The provider is registered as an organization entity type.

The provider's business location address is:

1000 E 5TH ST STE 110
AUSTIN, TX
ZIP 78702-802
Phone: (512) 499-0067
Fax: (844) 270-5426

The provider's authorized official is Adrian Bernal .
The authorized official title is Owner and has the following contact phone number (512) 499-0067.

The enumeration date for this NPI number is 5/24/2017 and was last updated on 7/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	28126	TEXAS	Yes

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

NPI Synchronization or Removal

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