# CARUS DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARUS DENTAL PC
- **Other names:** Carus Surgical Center San Marcos
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902306384
- **Legal business name:** CARUS DENTAL PC
- **Authorized official:** CELIA HAYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 102 WONDER WORLD DR STE 101, SAN MARCOS, TX 78666-6080
- **Practice address phone:** (512) 738-8572
- **Mailing address:** 102 WONDER WORLD DR STE 101, SAN MARCOS, TX 78666-6080
- **Mailing address phone:** (512) 738-8572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 15919 | TX | Yes |

## Other

- **Enumeration date:** 02/13/2018
- **Last updated:** 01/20/2022