LONGHORN DENTAL NPI 1477633113

NPI Information

  • NPI: 1477633113
  • Provider Name: LONGHORN DENTAL
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • :
  • Address: 12201 RENFERT WAY
    #345
    AUSTIN, TX
    ZIP 78758
  • Phone: (512) 836-3074

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NPI Details

LONGHORN DENTAL 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. LONGHORN DENTAL NPI is 1477633113. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

12201 RENFERT WAY
#345
AUSTIN, TX
ZIP 78758
Phone: (512) 836-3074
Fax: (512) 836-3252

The provider's authorized official is Malcolm Ray Scott .
The authorized official title is President and has the following contact phone number (512) 371-1222.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 9/11/2025.

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
11223G0001XDentistGeneral PracticeNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

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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