# SETON ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1124598917
- **Authorized official:** CLAYTON CARSNER (VP/COO)
- **Authorized official phone:** (512) 324-5846

## Contact information

- **Practice address:** 901 W 38TH ST, SUITE 410, AUSTIN, TX 78705
- **Practice address phone:** (512) 992-1378
- **Practice address fax:** (512) 992-1379
- **Mailing address:** 1345 PHILOMENA ST, STE 410.3, AUSTIN, TX 78723
- **Mailing address phone:** (512) 992-1378
- **Mailing address fax:** (512) 992-1379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2018
- **Last updated:** 07/22/2019