101 Dental Professional Corporation
Organization Active NPI Dental Clinic/Center · Round Rock, TX
NPI 1851180640 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1851180640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- 101 DENTAL PROFESSIONAL CORPORATION
- Practice address
- 2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001 - Phone
- (737) 220-1800
- Fax
- (737) 220-1818
- NPI assigned
- May 6, 2025
- Organization subpart
- No
Authorized official
- Name
- Fu-Ting Chang, DMD
- Title
- Owner
- Phone
- (216) 712-9662
Practitioners 1
-
Erica Chang, DMD
National Provider Directory
Locations
2000 Sam Bass Rd
Ste 108
Round Rock, TX 78681
Phone (512) 341-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001
Mailing address
2000 Sam Bass Rd Ste 108
Round Rock, TX 78681-2001
Phone (737) 220-1800
Other providers in Round Rock, TX
- 1St Class Dental Group PLLC
- 24HR Assistance at Home, LLC
- 4 Wellness Limited Liability Company
- A Gentle Draw Mobile Phlebotomy
- A Gentle Draw Mobile Phlebotomy
All providers in Round Rock, TX · Dental Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.