Organization
CARUS DENTAL PC
Active
Parent organization
CARUS DENTAL PC
Other names
Carus Dental Round Rock
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARUS DENTAL PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
16000 PARK VALLEY DR STE 100, ROUND ROCK, TX 78681-4009
(512) 244-7995
(512) 310-0451
Mailing address
16000 PARK VALLEY DR STE 100, ROUND ROCK, TX 78681-4009
(512) 244-7995
(512) 310-0451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/17/2006
Last updated
01/20/2022
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