# EAST AUSTIN DENTAL

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

## Provider details

- **NPI number:** 1417485244
- **Authorized official:** DR. ADRIAN BERNAL DDS (OWNER)
- **Authorized official phone:** (512) 499-0067

## Contact information

- **Practice address:** 1000 E 5TH ST STE 110, AUSTIN, TX 78702-3802
- **Practice address phone:** (512) 499-0067
- **Practice address fax:** (844) 270-5426
- **Mailing address:** 1000 E 5TH ST STE 110, AUSTIN, TX 78702-3802
- **Mailing address phone:** (512) 499-0067
- **Mailing address fax:** (844) 270-5426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 28126 | TX | Yes |

## Other

- **Enumeration date:** 05/24/2017
- **Last updated:** 07/21/2022