Organization · Type 2 NPI

Carus Dental PC

Oral and Maxillofacial Surgery (Dentist) · Round Rock, TX

NPI number 1114477353 Active

Practice location

16000 Park Valley Dr Ste 160
Round Rock, TX 78681-4009

Fax (512) 310-0451

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	15919 (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Another provider at this address

Oluwasegun Oluwafisayo Olabode, DDS, MDOral and Maxillofacial Surgery (Dentist) Round Rock, TX NPI 1871850057

Other oral and maxillofacial surgery (dentist) providers in Round Rock

See all in Round Rock →

NPI record

NPI: 1114477353
Entity type: Organization (Type 2)
Issued: Oct 12, 2016
Last updated: Jan 19, 2022
Status: Active
Subpart: Yes of Carus Dental PC

Other names

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Carus Surgical Center Round Rock · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114477353

Carus Dental PC's National Provider Identifier is 1114477353, issued on Oct 12, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Round Rock, TX. The record was last updated on Jan 19, 2022.