Austin Road Dental Clinic Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11925 Issued in TX

Legal business name

AUSTIN ROAD DENTAL CLINIC INC.

Practice address

901 Austin Rd
Graham, TX 76450-4214

Phone

(940) 549-9500

Fax

(940) 549-9501

NPI assigned

Nov 23, 2007

Last updated

Nov 23, 2007By 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. David Lee Scott, D.D.S.NPI 1881715498

Title

President

Phone

(940) 549-9500

Specialties & licenses 1

Addresses

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.

• David Lee Scott, D.D.S.

  • General Practice Dentistry
  • Graham, TX
  • NPI 1881715498
  NPD (past) Authorized official

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1437330099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 AUSTIN RD",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504214",
            "telephone_number": "940-549-9500",
            "fax_number": "940-549-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 AUSTIN RD",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504214",
            "telephone_number": "940-549-9500",
            "fax_number": "940-549-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ROAD DENTAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-549-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Graham, TX
• Providers in Graham, 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 Nov 23, 2007; 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.