# EAST AUSTIN ORAL SURGERY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1215629340
- **Authorized official:** MATTHEW LARGENT MD DDS (OWNER)
- **Authorized official phone:** (210) 846-3890

## Contact information

- **Practice address:** 2832 E MLK BLVD APT 102, AUSTIN, TX 78702-1504
- **Practice address phone:** (210) 846-3890
- **Mailing address:** 5001 WESTVIEW DR, AUSTIN, TX 78731-4737

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 06/14/2024