Brush32 Dental of South Lamar PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRUSH32 DENTAL OF SOUTH LAMAR PLLC

Doing business as

Ideal Dental South Lamar

Practice address

2330 S Lamar Blvd Ste 300
Austin, TX 78704-5265

Phone

(512) 337-8226

Fax

(512) 337-8227

NPI assigned

Sep 26, 2017

Organization subpart

No

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

Authorized official

Name

Sulman Ahmed, DMD

Title

Ceo

Phone

(972) 331-8079

Specialties & licenses 1

Addresses

Other names 1

• IDEAL DENTAL SOUTH LAMAR Doing business as

Locations

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1659880235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "972-361-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S LAMAR BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045265",
            "telephone_number": "512-337-8226",
            "fax_number": "512-337-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH32 DENTAL OF SOUTH LAMAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL DENTAL SOUTH LAMAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 May 12, 2023; 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.