Organization
CARUS DENTAL
Active
Other names
Round Rock, Park Valley Drive Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM RAY SCOTT DDS (PRESIDENT)
(512) 371-1222
Entity
Organization
Contact information
Practice address
7517 CAMERON RD, SUITE 107, AUSTIN, TX 78752-2057
(512) 371-1222
(512) 371-3914
Mailing address
16000 PARK VALLEY DR, SUITE 160, ROUND ROCK, TX 78681-4008
(512) 651-0444
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
25659
TX
1223P0300X
Periodontics
21209
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15919
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22831
TX
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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