# ACD PROFESSIONAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Austin Cosmetic Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295162345
- **Authorized official:** JARED BRUGGEMAN DDS (DENTIST)
- **Authorized official phone:** (817) 912-2982

## Contact information

- **Practice address:** 2700 BARTON CREEK BLVD, STE 100, AUSTIN, TX 78735-1641
- **Practice address phone:** (512) 382-5888
- **Practice address fax:** (512) 382-5826
- **Mailing address:** 1127 S MAIN ST, GRAPEVINE, TX 76051-7533
- **Mailing address phone:** (817) 380-5936
- **Mailing address fax:** (817) 442-0900

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2013
- **Last updated:** 10/03/2013