Organization
GREAT GRINS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT EUGENE FOSSUM DDS (DENTIST)
(713) 972-2044
Entity
Organization
Contact information
Practice address
5114 BALCONES WOODS DR STE 308, AUSTIN, TX 78759-5212
(512) 346-1900
Mailing address
5672 RAIN CREEK PKWY, AUSTIN, TX 78759-6201
(713) 972-2044
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us