# ACRE WOOD DENTAL - ROUND ROCK PA

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

## Provider details

- **NPI number:** 1801578919
- **Authorized official:** DR. BENJAMIN JOHNSON DDS (OWNER)
- **Authorized official phone:** (254) 799-5461

## Contact information

- **Practice address:** 15930 S GREAT OAKS DR STE A100, ROUND ROCK, TX 78681-5686
- **Practice address phone:** (512) 910-3456
- **Practice address fax:** (512) 910-3353
- **Mailing address:** 15930 S GREAT OAKS DR STE A100, ROUND ROCK, TX 78681-5686

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 08/07/2023