Individual provider · Type 1 NPI
Brent Eugene Fossum, DDS
Dentist · Austin, TX
Practice location
5114 Balcones Woods Dr Ste 308
Austin, TX 78759-5212
Fax (512) 717-0217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 25630 (TX) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1780996959
Brent Eugene Fossum, DDS's National Provider Identifier is 1780996959, issued on Jul 5, 2010. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Austin, TX. The record was last updated on Aug 19, 2026.