# FAMILY TREE DENTAL GROUP TWO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Tree Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811380710
- **Authorized official:** CHADWICK DENMAN DDS (OWNER/ DENTIST)
- **Authorized official phone:** (513) 458-5999

## Contact information

- **Practice address:** 1008 MOPAC CIRCLE, UNITE 101, AUSTIN, TX 78746
- **Practice address phone:** (513) 458-5999
- **Practice address fax:** (512) 428-4013
- **Mailing address:** 1008 MOPAC CIRCLE, UNITE 101, AUSTIN, TX 78746
- **Mailing address phone:** (513) 458-5999
- **Mailing address fax:** (512) 428-4013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2015
- **Last updated:** 03/17/2015