Active NPI
Hudson Bend Dental LLC
- Dental Clinic/Center
- Lakeway, TX
National Provider Identifier
1114571031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- HUDSON BEND DENTAL LLC
- Practice address
- 1605 RR 620 N Ste 300
Lakeway, TX 78734-2371 - Phone
- (512) 587-7979
- NPI assigned
- Jul 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Watson, DDS
- Title
- Pres
- Phone
- (512) 587-7979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1605 RR 620 N Ste 300
Lakeway, TX 78734-2371
Mailing address
3906 Eck LN
Austin, TX 78734-1615
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564358400000",
"number": "1114571031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3906 ECK LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787341615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 RR 620 N STE 300",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787342371",
"telephone_number": "512-587-7979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON BEND DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "512-587-7979",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.