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SPECIALTY DENTAL MANAGEMENT LLC
NPI 1073260451
Dentist - Pediatric Dentistry in Sunset Valley, TX

Active since March 07, 2022
5400 BRODIE LANE, SUITE 260, SUNSET VALLEY, TX 78745(512) 255-5900 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Jul 28, 2022, May 11, 2022 and 1 more (4 updates tracked since 2022).

About Specialty Dental Management Llc NPPES

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

SPECIALTY DENTAL MANAGEMENT LLC (NPI 1073260451) is a healthcare organization registered as a pediatric dentistry in Sunset Valley, Texas and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Lakeway and lists Jim B Usdan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073260451
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSPECIALTY DENTAL MANAGEMENT LLC
Location Address5400 BRODIE LANE, SUITE 260Sunset Valley, TX 78745-2525
Mailing Address1500 S Aw Grimes Blvd, Suite 190Round Rock, TX 78664 · (512) 255-5900 · Fax (512) 485-2879
Phone(512) 255-5900
Organization SubpartNo
Authorized OfficialJim B UsdanCeo · (615) 727-3060
Enumeration DateMarch 7, 2022
Last NPPES UpdateFebruary 28, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1073260451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
5400 BRODIE LANE, Sunset Valley, TX 78745
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Secondary Practice Location 1

Location 13313 RR 620 S Ste 300Lakeway, TX 78738-6871 · Phone (512) 255-5900

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Specialty Dental Management LLC's NPI number?

The NPI number for Specialty Dental Management LLC is 1073260451. It was assigned to this organization in the NPPES registry on March 7, 2022.

Where is Specialty Dental Management LLC located?

Specialty Dental Management LLC is located at 5400 Brodie Lane Suite 260, Sunset Valley, TX 78745. The listed phone number is (512) 255-5900.

What is Specialty Dental Management LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Specialty Dental Management LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Specialty Dental Management LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Specialty Dental Management LLC was last updated on February 28, 2023. 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.