Organization · Type 2 NPI

Renken Dentistry of Texas, PLLC

Dental Clinic/Center · Georgetown, TX

NPI number 1992479026 Active

Practice location

6779 W State Highway 29
Georgetown, TX 78628-6977

Call (217) 718-3072 Map

Mailing address

2809 Mansion Rd Ste B
Springfield, IL 62711-6811

Other practice locations

7826 W US Hwy 290, Suite 102, Austin, TX 78736 · (217) 718-3072

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1992479026
Entity type: Organization (Type 2)
Issued: Aug 3, 2021
Last updated: Aug 3, 2021
Status: Active

Other names

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Renken Dentistry of Texas, PLLC · doing business as
Renken Dentistry of Texas, PLLC · doing business as

Authorized official

Alicia Jones
HR Director
(217) 718-3072

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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 1992479026

Renken Dentistry of Texas, PLLC's National Provider Identifier is 1992479026, issued on Aug 3, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Georgetown, TX. The record was last updated on Aug 3, 2021.