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Contact Information

360 DENTAL CARE P.A.
3660 STONERIDGE RD STE B101
AUSTIN, TX78746-7759
 Phone: 512-327-3631
 Fax: 512-327-2234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 360 DENTAL CARE P.A.

NPI Number 1154494250
LBN Legal business name 360 DENTAL CARE P.A.
Authorized official MICHAEL NUSSBAUM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX License # 16292
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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