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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DERBY FAMILY DENTAL PLLC
NPI 1083490825
Dentist - General Practice in Austin, TX

Active since September 07, 2023
3410 FAR WEST BLVD STE 340, AUSTIN, TX 78731(512) 795-0128 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derby Family Dental Pllc NPPES

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

DERBY FAMILY DENTAL PLLC (NPI 1083490825), doing business as Derby Dental, is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since September 2023. The organization lists William R Jennings, Owner, as its authorized official.

NPPES Registry Identity

NPI1083490825
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDERBY FAMILY DENTAL PLLC
Location Address3410 FAR WEST BLVD STE 340Austin, TX 78731-3272
Mailing Address2109 Commerce St Ste 200Dallas, TX 75201-4350 · (972) 248-1221
Phone(512) 795-0128
Organization SubpartNo
Authorized OfficialWilliam R JenningsOwner · (940) 206-8956
Enumeration DateSeptember 7, 2023
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1083490825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3410 FAR WEST BLVD STE 340, Austin, TX 78731
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Other Names 1

Doing Business AsDerby Dental

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 Derby Family Dental PLLC's NPI number?

The NPI number for Derby Family Dental PLLC is 1083490825. It was assigned to this organization in the NPPES registry on September 7, 2023. The provider is doing business as Derby Dental.

Where is Derby Family Dental PLLC located?

Derby Family Dental PLLC is located at 3410 Far West Blvd Ste 340, Austin, TX 78731. The listed phone number is (512) 795-0128.

What is Derby Family Dental PLLC'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 Derby Family Dental PLLC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.