Georgetown Elite Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GEORGETOWN ELITE DENTAL

Doing business as

Georgetown Elite Dental

Practice address

1512 Leander Rd
Georgetown, TX 78628-8801

Phone

(214) 960-6367

NPI assigned

Aug 1, 2021

Last updated

Jul 27, 2022By 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

Saeid Abbasiyan, DDSNPI 1275143182

Title

Doctor

Phone

(214) 960-6367

Specialties & licenses 2

Addresses

Other names 1

• Georgetown Elite Dental Doing business as

Tax ID family

Austin Elite Dental Implant2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Austin Elite Dental & Implant

  • Dental Clinic/Center
  • Austin, TX
  • NPI 1134912785
  NPD tax ID

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.

• Saeid Abbasiyan, DDS

  • General Practice Dentistry
  • Georgetown, TX
  • NPI 1275143182
  NPD Authorized official

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1366115677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 LEANDER RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 LEANDER RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288801",
            "telephone_number": "214-960-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN ELITE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-01",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABBASIYAN",
        "authorized_official_first_name": "SAEID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-960-6367",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Elite Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Georgetown Elite Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgetown Dental Group PLLC
• Georgetown Diagnostic Imaging
• Georgetown DME LLC
• Georgetown Durable Medical Equipment, L.P.
• Georgetown Ear, Nose and Throat Center, PA
• Georgetown Emergency Physicians PLLC
• Georgetown Family & Geriatric Medicine PLLC
• Georgetown Family and Cosmetic Dentistry
• Georgetown Family Dental PLLC (Aesthetic Dentistry of Georgetown)
• Georgetown Family Emergency Center, LLC

• Dental Clinic/Center in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.