CENTRAL TEXAS PERIODONTICS NPI 1932328333

NPI Information

  • NPI: 1932328333
  • Provider Name: CENTRAL TEXAS PERIODONTICS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 1811 N. AUSTIN AVE.
    SUITE 101
    GEORGETOWN, TX
    ZIP 78626
  • Phone: (512) 863-9500

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NPI Details

CENTRAL TEXAS PERIODONTICS is a periodontics dentist in Georgetown, 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. CENTRAL TEXAS PERIODONTICS NPI is 1932328333. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1811 N. AUSTIN AVE.
SUITE 101
GEORGETOWN, TX
ZIP 78626
Phone: (512) 863-9500
Fax: (512) 863-9562

The provider's authorized official is Jonathan R Callia .
The authorized official title is Dentist and has the following contact phone number (512) 863-9500.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 9/8/2008.

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
11223P0300XDentistPeriodontics20343TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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