Paulina Alexxis Clendennen, DDS
Individual provider Active NPI Dentist · Hutto, TX
NPI 1982125423 · NPPES record last updated Jul 6, 2017
Key facts
- NPI
- 1982125423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 32991 (TX)
- Practice address
- 401 Exchange Blvd
Hutto, TX 78634-5717 - Phone
- (512) 806-7740
- NPI assigned
- Jul 6, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32991 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32991 | TX | Yes |
Addresses
Primary practice location
401 Exchange Blvd
Hutto, TX 78634-5717
Mailing address
11102 Grapevine LN
Austin, TX 78759-4763
Phone (512) 954-1213
Other names
- Paulina Alexxis Gonzalez
Other providers in Hutto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2017. 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.