Individual provider · Type 1 NPI

Roanne Shoubaki

General Practice Dentistry · Georgetown, TX

NPI number 1053005504 Active

Practice location

2411 Williams Dr Ste 111
Georgetown, TX 78628-3268

Call (877) 800-5722 Map

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X39434 (TX)
General Practice Dentistry Primary 1223G0001X39434 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1053005504

Roanne Shoubaki's National Provider Identifier is 1053005504, issued on Jun 7, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Georgetown, TX. The record was last updated on Jul 17, 2025.