# ENABLE DENTAL OF ILLINOIS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ENABLE DENTAL INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740024066
- **Authorized official:** AMY DUNCAN (DIRECTOR OF REVENUE)
- **Authorized official phone:** (737) 787-2049

## Contact information

- **Practice address:** 5555 N LAMAR BLVD STE H125, AUSTIN, TX 78751-1096
- **Practice address phone:** (866) 988-4504
- **Practice address fax:** (866) 815-3719
- **Mailing address:** 5555 N LAMAR BLVD STE H125, AUSTIN, TX 78751-1096
- **Mailing address phone:** (866) 988-4504
- **Mailing address fax:** (866) 815-3719

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2024
- **Last updated:** 06/21/2024