We Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WE DENTAL, PLLC

Practice address

10009 N Lamar Blvd
Suite C
Austin, TX 78753-4117

Phone

(719) 243-2378

NPI assigned

Aug 14, 2015

Last updated

Aug 14, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lucas M Ebaugh

Title

Owner/Provider

Phone

(719) 243-2378

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1205202157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 N LAMAR BLVD",
            "address_2": "SUITE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 N LAMAR BLVD",
            "address_2": "SUITE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534117",
            "telephone_number": "719-243-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "EBAUGH",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "719-243-2378"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.