AUSTIN BLVD. FAMILY DENTISTRY, P.C.
NPI 1063945848
Dentist - General Practice in Red Oak, TX

Active since April 07, 2017
101 AUSTIN BLVD., STE 100, RED OAK, TX 75154(770) 916-5031 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Austin Blvd. Family Dentistry, P.c. NPPES

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

AUSTIN BLVD. FAMILY DENTISTRY, P.C. (NPI 1063945848) is a healthcare organization registered as a general practice in Red Oak, Texas and active in the NPI registry since April 2017. The organization lists Alan Martin, President, as its authorized official.

NPPES Registry Identity

NPI1063945848
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAUSTIN BLVD. FAMILY DENTISTRY, P.C.
Location Address101 AUSTIN BLVD., STE 100Red Oak, TX 75154
Mailing Address1090 Northchase Pkwy Ste. 150Marietta, GA 30067
Organization SubpartNo
Authorized OfficialAlan MartinPresident · (972) 617-3322
Enumeration DateApril 7, 2017
Last NPPES UpdateApril 13, 2017
NPI 1063945848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
101 AUSTIN BLVD., STE 100, Red Oak, TX 75154

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Austin Blvd. Family Dentistry, P.C.'s NPI number?

The NPI number for Austin Blvd. Family Dentistry, P.C. is 1063945848. It was assigned to this organization in the NPPES registry on April 7, 2017.

Where is Austin Blvd. Family Dentistry, P.C. located?

Austin Blvd. Family Dentistry, P.C. is located at 101 Austin Blvd., Ste 100, Red Oak, TX 75154. The listed phone number is (770) 916-5031.

What is Austin Blvd. Family Dentistry, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Austin Blvd. Family Dentistry, P.C. was last updated on April 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.