Provider Demographics
NPI:1487409686
Name:AUSTIN DENTAL PROFESSIONALS PLLC
Entity type:Organization
Organization Name:AUSTIN DENTAL PROFESSIONALS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:POPAT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-883-5496
Mailing Address - Street 1:1420 CYPRESS CREEK RD STE 700
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3606
Mailing Address - Country:US
Mailing Address - Phone:512-883-5496
Mailing Address - Fax:
Practice Address - Street 1:1420 CYPRESS CREEK RD STE 700
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3606
Practice Address - Country:US
Practice Address - Phone:512-883-5496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty