MEDICARE: ENAMEL SLEEP, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1881557502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENAMEL SLEEP, PLLC

Provider Business Mailing Address
First Line	:	7013 VICENZA DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78739-1591
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11005 BURNET RD STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-4440
Country	:	US
Telephone Number	:	512-588-5287
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	HARDIK CHODAVADIA
Credential	:	DDS
Telephone Number	:	817-988-6484

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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