Specialty Dental Management LLC
Organization Active NPI Pediatric Dentistry · Sunset Valley, TX
NPI 1073260451 · NPPES record last updated Feb 28, 2023
Key facts
- NPI
- 1073260451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- SPECIALTY DENTAL MANAGEMENT LLC
- Practice address
- 5400 Brodie Lane
Suite 260
Sunset Valley, TX 78745-2525 - Phone
- (512) 255-5900
- NPI assigned
- Mar 7, 2022
- Organization subpart
- No
Authorized official
- Name
- Jim B Usdan
- Title
- Ceo
- Phone
- (615) 727-3060
Practitioners 2
-
Corey Steven Romero, DDS
-
Giancarlo Santos, D.D.S
National Provider Directory
Locations
5400 Brodie Ln
Ste 260
Sunset Valley, TX 78745
Phone (512) 255-5900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes | ||
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X |
Addresses
Primary practice location
5400 Brodie Lane
Suite 260
Sunset Valley, TX 78745-2525
Mailing address
1500 S Aw Grimes Blvd
Suite 190
Round Rock, TX 78664
Phone (512) 255-5900
Other practice location 1
3313 RR 620 S Ste 300
Lakeway, TX 78738-6871
Phone (512) 255-5900
Other providers in Sunset Valley, TX
- Katherine Owens
- Nancy J Porter
- Abby Neck Richardson
- Purvi Neel Shah
- Alyson Simpkins
- Melissa Stelzer
- Andrea Sumber
- Alyssa Templain
- Bryce William Tracy
- Visionworks, Inc.
All providers in Sunset Valley, TX · Pediatric 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 Feb 28, 2023. 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.