NPI 1720132905 · live from the CMS NPI Registry
Austin Orthodontic Specialists
Dentist, Orthodontics and Dentofacial Orthopedics in Austin, TX. National Provider Identifier 1720132905, active.
NPI record
| NPI | 1720132905 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 6425 South Ih-35, Suite 100, Austin, TX 78744 |
| Practice phone | 512-447-5194 |
| Enumerated | January 23, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Michael Dillingham, Orthodontist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 15903 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.