NPI 1154494250 · live from the CMS NPI Registry
360 Dental Care P.A.
Dentist, General Practice in Austin, TX. National Provider Identifier 1154494250, active.
NPI record
| NPI | 1154494250 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3660 Stoneridge Rd Ste B101, Austin, TX 78746 |
| Practice phone | 512-327-3631 |
| Enumerated | November 16, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Michael Nussbaum, President |
| Other names | Michael B. Nussbaum D.D.S. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 16292 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.