# FAMILY TREE DENTAL GROUP

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

## Provider details

- **NPI number:** 1659655199
- **Authorized official:** DR. CHADWICK RHETT DENMAN D.D.S. (PRACTICE OWNER)
- **Authorized official phone:** (512) 458-5999

## Contact information

- **Practice address:** 5310 BURNET RD, SUITE 108, AUSTIN, TX 78756-2003
- **Practice address phone:** (512) 458-5999
- **Practice address fax:** (512) 355-1291
- **Mailing address:** 5310 BURNET ROAD, SUITE 108, AUSTIN, TX 78756
- **Mailing address phone:** (512) 458-5999
- **Mailing address fax:** (512) 355-1291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22794 | TX | Yes |

## Other

- **Enumeration date:** 10/03/2011
- **Last updated:** 10/03/2011