# 360 DENTAL CARE P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael B. Nussbaum D.D.S.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154494250
- **Authorized official:** MICHAEL B NUSSBAUM D.D.S. (PRESIDENT)
- **Authorized official phone:** (512) 327-3631

## Contact information

- **Practice address:** 3660 STONERIDGE RD STE B101, AUSTIN, TX 78746-7759
- **Practice address phone:** (512) 327-3631
- **Practice address fax:** (512) 327-2234
- **Mailing address:** 3660 STONERIDGE RD STE B101, AUSTIN, TX 78746-7759
- **Mailing address phone:** (512) 327-3631
- **Mailing address fax:** (512) 327-2234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 16292 | TX | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 08/22/2020