Austin Blvd. Family Dentistry, P.C.
Organization Active NPI General Practice Dentistry · Red Oak, TX
NPI 1063945848 · NPPES record last updated Apr 13, 2017
Key facts
- NPI
- 1063945848
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- AUSTIN BLVD. FAMILY DENTISTRY, P.C.
- Practice address
- 101 Austin Blvd., Ste 100
Red Oak, TX 75154 - Phone
- (770) 916-5031
- NPI assigned
- Apr 7, 2017
- Organization subpart
- No
Authorized official
- Name
- Alan Martin, D.D.S.
- Title
- President
- Phone
- (972) 617-3322
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | |||
| Endodontics |
1223E0200X | |||
| General Practice Dentistry |
1223G0001X | Yes | ||
| Pediatric Dentistry |
1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X |
Addresses
Primary practice location
101 Austin Blvd., Ste 100
Red Oak, TX 75154
Mailing address
1090 Northchase Pkwy Ste. 150
Marietta, GA 30067
Other providers in Red Oak, TX
- Alysha Amayreh
- Ca'Chereal Laquet Anderson
- Andre Hancock Sr. Family Group Home
- Apex Health RX, LLC
- Attend Urgent Care PLLC
- Autism and Behavioral Therapeutics
- Oluwadamilola Ayanda
- Aycox-Pearson & Associates
- Cherita Bailey
- Brent Wyatt Baker
All providers in Red Oak, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.