Healthcare Provider Details

I. General information

NPI: 1548186711
Provider Name (Legal Business Name): BJARNASON ENDODONTICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 N MOPAC EXPY STE 250
AUSTIN TX
78759-8959
US

IV. Provider business mailing address

1830 ROUND ROCK AVE # ATE100
ROUND ROCK TX
78681-4021
US

V. Phone/Fax

Practice location:
  • Phone: 512-909-4019
  • Fax:
Mailing address:
  • Phone: 512-909-4019
  • Fax: 512-909-4019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAWNA SIMMONS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 512-909-4019