Individual provider · Type 1 NPI
Shouvik Ponnusamy, DMD
Oral and Maxillofacial Surgery (Dentist) · Round Rock, TX
Practice location
4010 Sandy Brook Dr Ste 204
Round Rock, TX 78665-1518
Mailing address
1511 Rimstone Dr
Cedar Park, TX 78613-7692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 38050 (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.
5 other providers at this address
- Affordable Dentures & Implants - Texas, PLLCGeneral Practice Dentistry Round Rock, TX NPI 1528632932
- Alexander Maxwell Stewart, DMDGeneral Practice Dentistry Round Rock, TX NPI 1306421011
- Danny Jack Holtzclaw, DDS, MSPeriodontics Round Rock, TX NPI 1669434650
- Juan Fernando Gonzalez, DMDOral and Maxillofacial Surgery (Dentist) Round Rock, TX NPI 1073575130
- Sara E. Emery, DDSGeneral Practice Dentistry Round Rock, TX NPI 1619097342
Other oral and maxillofacial surgery (dentist) providers in Round Rock
- William M. Wyatt, DDSOral and Maxillofacial Surgery (Dentist) Round Rock, TX NPI 1003981721
- Juan Fernando Gonzalez, DMDOral and Maxillofacial Surgery (Dentist) Round Rock, TX NPI 1073575130
- Gopikiran Thota, DDS, MDOral and Maxillofacial Surgery (Dentist) Round Rock, TX NPI 1609000314
- Robert J. Naples, DDSOral and Maxillofacial Surgery (Dentist) Round Rock, TX NPI 1679796270
- Ryan Weber, DDS, MDOral and Maxillofacial Surgery (Dentist) Round Rock, TX NPI 1720473515
- Oluwasegun Oluwafisayo Olabode, DDS, MDOral and Maxillofacial Surgery (Dentist) Round Rock, TX NPI 1871850057
About NPI 1457706202
Shouvik Ponnusamy, DMD's National Provider Identifier is 1457706202, issued on Apr 29, 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 Sep 23, 2022.