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General NPI Number Information
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NPI Number | 1710846191
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Entity Type | Organization
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Legal Business Name | NORTH AUSTIN PERIODONTICS PA
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 990 HESTERS CROSSING RD
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City | ROUND ROCK
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State | TX
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Zip | 78681-8028
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Country | US
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Telephone | 512-341-2321
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Fax | 512-341-2671
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Provider Business Mailing Address
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Address Line | 990 HESTERS CROSSING RD
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City | ROUND ROCK
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State | TX
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Zip | 78681-8028
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Country | US
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Telephone | 512-341-2321
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Fax | 512-341-2671
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Authorized Official
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Title or Position | OWNER
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Name | KRIS OWENS
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Credential | DDS
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Telephone | 512-689-6252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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