Organization
ODP OF TEXAS PLLC
Active
Parent organization
ODP OF TEXAS PLLC
Other names
Smiles of Austin Dripping Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODP OF TEXAS PLLC
Authorized official
NICOLE D CARIDE (CREDENTIALING)
(470) 207-3264
Entity
Organization
Contact information
Practice address
170 BENNEY LN STE 103, DRIPPING SPRINGS, TX 78620-5566
(512) 894-3779
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(470) 207-3264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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