Dental Vip, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL VIP, PLLC

Practice address

404 W Powell LN Ste 102
Austin, TX 78753-6256

Phone

(561) 715-1010

NPI assigned

Jul 13, 2018

Last updated

Oct 15, 2024By 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

Dr. Laurence E Fendrich, DMDNPI 1457554818

Title

Member

Phone

(561) 715-1010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laurence Edward Fendrich, D.M.D.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1457554818
  NPD Authorized official

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1346726247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 WESTHEIMER RD # 833",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981002",
            "telephone_number": "561-715-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W POWELL LN STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536256",
            "telephone_number": "561-715-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL VIP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "FENDRICH",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "561-715-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DENTAL LICENSE",
            "identifier": "34315",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Center of South Austin, P.C.
• Dental Health Associates of Texas, PC (Ledge Stone Dental Care)
• Dental Health Associates of Texas, PC (Davenport Village Dental)
• Dental Health Associates of Texas, PC (South Austin Dentist)
• Dental Smiles (Dental Smiles PA)
• Dentaquest USA Insurance Company, Inc.
• Dentist in Austin LLC
• Dentistryone of Texas PC
• Dentists of Belterra and Orthodontics, PC
• Gail Denton

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.