1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Dentist
  6. NPI Profile

SOUTH AUSTIN ORAL SURGERY
NPI 1043927197
Dentist - Oral and Maxillofacial Surgery in Austin, TX

Active since October 28, 2022
706B W BEN WHITE BLVD # 194, AUSTIN, TX 78704(512) 692-7140 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Austin Oral Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH AUSTIN ORAL SURGERY (NPI 1043927197) is a healthcare organization registered as an oral and maxillofacial surgery in Austin, Texas and active in the NPI registry since October 2022. The organization lists Nitin Uddaraju Raju, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1043927197
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTH AUSTIN ORAL SURGERY
Location Address706B W BEN WHITE BLVD # 194Austin, TX 78704-7153
Mailing Address706b W Ben White Blvd # 194Austin, TX 78704-7153 · (512) 692-7140
Phone(512) 692-7140
Organization SubpartNo
Authorized OfficialNitin Uddaraju RajuOral Surgeon · (512) 692-7140
Enumeration DateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
✔ NPI 1043927197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in 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.
706B W BEN WHITE BLVD # 194, Austin, TX 78704
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Austin Oral Surgery's NPI number?

The NPI number for South Austin Oral Surgery is 1043927197. It was assigned to this organization in the NPPES registry on October 28, 2022.

Where is South Austin Oral Surgery located?

South Austin Oral Surgery is located at 706B W Ben White Blvd # 194, Austin, TX 78704. The listed phone number is (512) 692-7140.

What is South Austin Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for South Austin Oral Surgery was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.