# CENTRAL TEXAS ORAL SURGERY ASSC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114018124
- **Authorized official:** FRANKLIN SAMUEL BONASSO DDS (ORAL SURGEON)
- **Authorized official phone:** (512) 320-1640

## Contact information

- **Practice address:** 3200 RED RIVER, \#400, AUSTIN, TX 78705
- **Practice address phone:** (512) 320-1640
- **Practice address fax:** (512) 320-1643
- **Mailing address:** 3200 RED RIVER, \#400, AUSTIN, TX 78705
- **Mailing address phone:** (512) 320-1640
- **Mailing address fax:** (512) 320-1643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 18515 | TX | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020