Austin Dental Center, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15791 Issued in TX

Legal business name

AUSTIN DENTAL CENTER, PC

Practice address

2304 Hancock Dr Ste 1
Austin, TX 78756-2537

Phone

(512) 454-0414

Fax

(512) 454-0426

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John N Glennon, DDSNPI 1801981816

Title

President

Phone

(512) 263-5034

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.

• John Newton Glennon, D.D.S.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1801981816
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629189774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 HANCOCK DR STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562537",
            "telephone_number": "512-454-0414",
            "fax_number": "512-454-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 HANCOCK DR STE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562537",
            "telephone_number": "512-454-0414",
            "fax_number": "512-454-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLENNON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-263-5034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "825457",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Counseling House, PLLC
• Austin Critical Care Specialists PA
• Austin DBT Associates
• Austin Dental Associates PLLC
• Austin Dental Care
• Austin Dental Group PLLC
• Austin Dental Sleep Associates PLLC
• Austin Dental Spa, PLLC
• Austin Dental Westlake PLLC
• Austin Dentistry, PLLC

• 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 Aug 22, 2020; 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.