| Omni Dental Group | |
|
11130 Jollyville Rd Suite 1500 Austin TX 78759-5593 | |
| (512) 346-8424 | |
| (512) 346-3848 |
| Full Name | Omni Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11130 Jollyville Rd, Austin, Texas |
| Authorized Official Name and Position | Helen Carley-holmes (OPERATIONS MANAGER) |
| Authorized Official Contact | 5122505012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Dental Group 11130 Jollyville Rd Suite 1500 Austin TX 78759-5593 Ph: (512) 346-8424 | Omni Dental Group 11130 Jollyville Rd Suite 1500 Austin TX 78759-5593 Ph: (512) 346-8424 |
| NPI Number | 1942376884 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942376884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16471 (Texas) | Primary |
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