Access Dental of William Cannon PA

Primary specialty

DentistTaxonomy code 122300000X

License

22334 Issued in TX

Legal business name

ACCESS DENTAL OF WILLIAM CANNON PA

Practice address

801 E William Cannon Dr Ste 201
Austin, TX 78745-6671

Phone

(956) 507-7253

NPI assigned

Jan 19, 2012

Last updated

Oct 14, 2026By 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

Tien Dinh Phan, DMD

Title

Dentist

Phone

(956) 507-7253

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Eswar Keran Chandra Damodara, BDS., MS

  • Prosthodontics
  • Austin, TX
  • NPI 1124441530
  NPD
• John Dinh Le, DDS

  • Dentist
  • Austin, TX
  • NPI 1861044265
  NPD
• Nancy Xiaonan Xu, DDS

  • Dentist
  • Austin, TX
  • NPI 1306626544
  NPD
• Kuntal Patel, D.D.S.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1326499393
  NPD (past)
• Karnik Shah, BDS, MS

  • Prosthodontics
  • Austin, TX
  • NPI 1013468529
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1700157955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 REGENT BLVD STE 110",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633107",
            "telephone_number": "956-507-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WILLIAM CANNON DR STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456671",
            "telephone_number": "956-507-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL OF WILLIAM CANNON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "TIEN",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-507-7253",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accentcare Inc
• Access Co-Medical Clinic
• Access Dental of 7TH Street
• Access Dental of Ed Bluestein PA
• Access Dental of Rundberg
• Access Neuropsychology of Austin PLLC
• Access Orthodontics of E. 7TH Street PA
• Access Orthodontics of Rundberg PA
• Accession Estates LLC (Accession Estates Assisted Living Homes)
• Samantha Rose Accettulli

• 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 Oct 14, 2026; 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.