Carus Dental PC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Round Rock, TX
NPI 1114477353 · NPPES record last updated Jan 19, 2022
Key facts
- NPI
- 1114477353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 15919 (TX)
- Legal business name
- CARUS DENTAL PC
- Practice address
- 16000 Park Valley Dr Ste 160
Round Rock, TX 78681-4009 - Phone
- (512) 733-8308
- Fax
- (512) 310-0451
- NPI assigned
- Oct 12, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- CARUS DENTAL PC
Authorized official
- Name
- Celia Hayes
- Title
- Credentialing Coordinator
- Phone
- (217) 540-2100
Corporate family (same tax ID) 40
Practitioners 2
-
Oluwasegun Oluwafisayo Olabode, D.D.S., M.D.
-
Mark Karakourtis, D.D.S.
National Provider Directory
- Tax ID family
- Longorn Dental
- Part of
- Longorn Dental
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 15919 | TX | Yes |
Addresses
Primary practice location
16000 Park Valley Dr Ste 160
Round Rock, TX 78681-4009
Mailing address
16000 Park Valley Dr Ste 160
Round Rock, TX 78681-4009
Phone (512) 733-8308
Other names
- Carus Surgical Center Round Rock
Other providers in Round Rock, TX
- Tannon Dajuan Carroll
- Lisa Marie Carson
- Christine K Carter
- Seretha Manor Carter
- Sherrita Carter
- Carus Dental PC
- Amanda Leigh Casas
- Kristin Casbon
- Nina Caserio
- Casey O'Neal, PH.D.
All providers in Round Rock, TX · Oral and Maxillofacial Surgery (Dentist) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2022. 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.