Organization · Type 2 NPI

Riverside Practice, LLC

Oral and Maxillofacial Surgery (Dentist) · Austin, TX

NPI number 1679062020 Active

Practice location

2410 E Riverside Dr Ste H12
Austin, TX 78741-3054

Call (512) 442-1224 Map

Mailing address

12613 Scofield Farms Dr
Austin, TX 78727-4542

Specialties and licenses

TaxonomyCodeLicense
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 1679062020

Riverside Practice, LLC's National Provider Identifier is 1679062020, issued on May 1, 2018. 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 Mar 24, 2023.