Provider Demographics
NPI:1366217598
Name:BEYOND DENTISTRY ATX PLLC
Entity type:Organization
Organization Name:BEYOND DENTISTRY ATX PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BABOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-468-0649
Mailing Address - Street 1:6012 W WILLIAM CANNON DR STE B101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1978
Mailing Address - Country:US
Mailing Address - Phone:512-808-5205
Mailing Address - Fax:512-808-5581
Practice Address - Street 1:6012 W WILLIAM CANNON DR STE B101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1978
Practice Address - Country:US
Practice Address - Phone:512-808-5205
Practice Address - Fax:512-808-5581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty