Austin Central Park Pediatric Dentistry is a Pediatric Dental Clinic in Austin, Texas. It is located at 1005 W 38th St Ste 200, Austin, TX and its contact number is 512-330-4624. The authorized person for Austin Central Park Pediatric Dentistry is Dr. Daniel Crandall Johnson
who is Owner/dentist of the clinic and their contact number is 512-330-4624. The primary license number for Austin Central Park Pediatric Dentistry is 28784 (Pediatric Dentistry) in Texas. Austin Central Park Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Austin Central Park Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Austin Central Park Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
1005 W 38th St Ste 200, Austin, Texas, 78705-1042
Phone:
512-330-4624
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Daniel Crandall Johnson
Position:
Owner/dentist
Contact Number:
512-330-4624
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Austin Central Park Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1639597222
NPI Enumeration Date:
01 Apr, 2014
NPI Last Update On:
01 Apr, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Austin Central Park Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
28784
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1619250123
Other
Individual Npi
3194185-03
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Austin Central Park Pediatric Dentistry 1005 W 38th St Ste 200, Austin, Texas
Zip:
78705-1042
Phone Number:
512-330-4624
Patients can reach Austin Central Park Pediatric Dentistry at 1005 W 38th St Ste 200, Austin, Texas or can call to book an appointment on 512-330-4624. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.