Organization · Type 2 NPI

Longhorn Dental

Oral and Maxillofacial Surgery (Dentist) · Austin, TX

NPI number 1477633113 Active

Practice location

12201 Renfert Way, #345
Austin, TX 78758

Call (512) 836-3074 Map

Fax (512) 836-3252

Mailing address

7517 Cameron Road, Suite 107 Longhorn Dental Associates Pc
Austin, TX 78752

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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.

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About NPI 1477633113

Longhorn Dental's National Provider Identifier is 1477633113, issued on Oct 17, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Austin, TX. The record was last updated on Sep 11, 2025.