| Roup Dental | |
|
661 Louis Henna Blvd Ste 420 Round Rock TX 78664-7408 | |
| (512) 341-7500 | |
| (512) 341-7753 |
| Full Name | Roup Dental |
|---|---|
| Speciality | Dentist |
| Location | 661 Louis Henna Blvd Ste 420, Round Rock, Texas |
| Authorized Official Name and Position | Amy Moreau (FRONT OFFICE) |
| Authorized Official Contact | 5123417500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roup Dental 661 Louis Henna Blvd Ste 420 Round Rock TX 78664-7408 Ph: (512) 341-7500 | Roup Dental 661 Louis Henna Blvd Ste 420 Round Rock TX 78664-7408 Ph: (512) 341-7500 |
| NPI Number | 1821360983 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 02/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821360983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19139 (Texas) | Primary |
| 122300000X | Dentist | 20619 (Texas) | Secondary |
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