# OAK CREEK CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mayfield Ranch Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417639766
- **Authorized official:** DR. SRINIVAS DURSHANAPALLI DDS (PRESIDENT)
- **Authorized official phone:** (203) 215-4687

## Contact information

- **Practice address:** 3100 FM 1431 STE 500, ROUND ROCK, TX 78681-1158
- **Practice address phone:** (512) 956-5656
- **Practice address fax:** (512) 649-5454
- **Mailing address:** 4300 CROMWELL DR APT 3211, KYLE, TX 78640-6496
- **Mailing address phone:** (989) 423-4811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 08/07/2023