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General NPI Number Information
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NPI Number | 1356229496
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Entity Type | Organization
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Legal Business Name | AUSTIN DENTAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 14900 N INTERSTATE 35 UNIT 101
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City | AUSTIN
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State | TX
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Zip | 78728-5719
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Country | US
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Telephone | 512-653-3500
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Fax | 512-256-1900
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Provider Business Mailing Address
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Address Line | 14900 N INTERSTATE 35 UNIT 101
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City | AUSTIN
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State | TX
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Zip | 78728-5719
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Country | US
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Telephone | 512-653-3500
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Fax | 512-256-1900
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Authorized Official
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Title or Position | GENERAL DENTIST, OPERATING OWNER
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Name | DR. SAMEH OZORIS GIRGIS
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Credential |
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Telephone | 248-312-8479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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