# CARUS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Round Rock, Park Valley Drive Specialty
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821341660
- **Authorized official:** MALCOLM RAY SCOTT DDS (PRESIDENT)
- **Authorized official phone:** (512) 371-1222

## Contact information

- **Practice address:** 7517 CAMERON RD, SUITE 107, AUSTIN, TX 78752-2057
- **Practice address phone:** (512) 371-1222
- **Practice address fax:** (512) 371-3914
- **Mailing address:** 16000 PARK VALLEY DR, SUITE 160, ROUND ROCK, TX 78681-4008
- **Mailing address phone:** (512) 651-0444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 25659 | TX | — |
| 1223P0300X | Periodontics | 21209 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 15919 | TX | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22831 | TX | — |

## Other

- **Enumeration date:** 10/17/2012
- **Last updated:** 10/17/2012