Austin Blvd. Family Dentistry, P.c.

Specialty details in registry · Red Oak, TX

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At a glance

101 Austin Blvd., Ste 100, Red Oak, TX 75154

NPPES record updated Apr 13, 2017. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

101 Austin Blvd., Ste 100
Red Oak, TX 75154

Professional details: NPI, taxonomy & registry record

NPI1063945848

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223G0001X
Enumeration date: Apr 7, 2017
Record updated: Apr 13, 2017

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Dentist

122300000X

Specialty details in registry

1223E0200X

Specialty details in registry

1223G0001X · Primary

Specialty details in registry

1223P0221X

Specialty details in registry

1223X0400X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

101 Austin Blvd., Ste 100
Red Oak, TX 75154

Phone: (770) 916-5031

Mailing address

1090 NORTHCHASE PKWY STE. 150

MARIETTA, GA 30067

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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