AUSTIN PEDIATRIC DENTISTRY PLLC NPI 1518383769

NPI Information

NPI: 1518383769
Provider Name: AUSTIN PEDIATRIC DENTISTRY PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6618 SITIO DEL RIO BLVD
STE B102
AUSTIN, TX
ZIP 78730
Phone: (512) 900-5437
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AUSTIN PEDIATRIC DENTISTRY PLLC is a dental clinic center in Austin, TX. AUSTIN PEDIATRIC DENTISTRY PLLC NPI is 1518383769. The provider is registered as an organization entity type.

The provider's business location address is:

6618 SITIO DEL RIO BLVD
STE B102
AUSTIN, TX
ZIP 78730-143
Phone: (512) 900-5437
Fax: (512) 857-1042

The provider's authorized official is Joshua Lucas .
The authorized official title is Cfo and has the following contact phone number (512) 887-2319.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 3/12/2014.

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	29246	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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