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Austin Central Park Pediatric Dentistry
Pediatric Dentist in Austin, Texas
NPI 1639597222

Austin Central Park Pediatric Dentistry is a Pediatric Dentist based in Austin, TX and is specialized in Pediatric Dentistry. Austin Central Park Pediatric Dentistry practices in Austin, TX. The NPI Number for Austin Central Park Pediatric Dentistry is 1639597222 and holds a License No. 28784 (Texas).

The current practice location address for Austin Central Park Pediatric Dentistry is 1005 W 38Th St Ste 200, Austin, TX and can be reached out via phone at 512-330-4624.

Location: 1005 W 38Th St Ste 200, Austin, TX, 78705-1042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639597222
Provider Name
Austin Central Park Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
1005 W 38Th St Ste 200, Austin, TX, 78705-1042
Phone Number
512-330-4624
Fax Number
Provider Enumeration Date
04/01/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619250123 01 INDIVIDUAL NPI
3194185-03 05 TX
institution
Provider Business Practice Location Address Details
Address
1005 W 38Th St Ste 200
City
Austin
State
Texas
Zip
78705-1042
Phone Number
512-330-4624
Fax Number
person
Provider Business Mailing Address Details
Address
1005 W 38Th St Ste 200
City
Austin
State
Texas
Zip
78705-1042
Phone Number
512-330-4624
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
28784 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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