# ENAMEL DENTISTRY SOUTH LAMAR PLLC

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

## Provider details

- **NPI number:** 1538515580
- **Authorized official:** DEVISHKUMAR PATEL DDS (OWNER)
- **Authorized official phone:** (512) 717-5315

## Contact information

- **Practice address:** 2717 S LAMAR BLVD, SUITE 1086, AUSTIN, TX 78704-5044
- **Practice address phone:** (512) 717-5315
- **Mailing address:** 2717 S LAMAR BLVD, SUITE 1086, AUSTIN, TX 78704-5044
- **Mailing address phone:** (512) 717-5315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 30046 | TX | — |
| 1223G0001X | General Practice Dentistry | 30081 | TX | Yes |

## Other

- **Enumeration date:** 05/09/2016
- **Last updated:** 05/09/2016