# AUSTIN FAMILY DENTAL SPA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Austin Dental Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699402735
- **Authorized official:** DR. WILLIAM ROBERT JENNINGS DDS (OWNER)
- **Authorized official phone:** (940) 206-8956

## Contact information

- **Practice address:** 3305 NORTHLAND DR STE 515, AUSTIN, TX 78731-4991
- **Practice address phone:** (512) 380-1300
- **Mailing address:** 2109 COMMERCE ST, DALLAS, TX 75201-4305
- **Mailing address phone:** (972) 248-1221

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 08/08/2022