# GROOVY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Groovy Dental PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639750375
- **Authorized official:** DR. ALYSSA C DAWSON DDS (GENERAL DENTIST)
- **Authorized official phone:** (817) 808-9953

## Contact information

- **Practice address:** 8701 W PARMER LN STE 200, AUSTIN, TX 78729-4941
- **Practice address phone:** (817) 808-9953
- **Mailing address:** 1104 DURHAM DR, AUSTIN, TX 78753-5818
- **Mailing address phone:** (817) 808-9953

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2021
- **Last updated:** 04/15/2021