Organization
ENABLE DENTAL OF ARIZONA
Active
Other names
Enable Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BOLLINGER (RCM)
(512) 500-0302
Entity
Organization
Contact information
Practice address
5555 N LAMAR BLVD STE H125, AUSTIN, TX 78751-1096
(866) 988-4504
(866) 815-3719
Mailing address
5555 N LAMAR BLVD STE H125, AUSTIN, TX 78751-1096
(866) 988-4504
(866) 815-3719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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