VAN DYKE DENTAL ASSOCIATES, PA
NPI 1104130905
Dentist - General Practice in Austin, TX

Active since August 04, 2010
9411 N LAMAR BLVD, AUSTIN, TX 78753(512) 744-6000(512) 334-2321 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Van Dyke Dental Associates, Pa NPPES

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

VAN DYKE DENTAL ASSOCIATES, PA (NPI 1104130905) is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since August 2010. The organization lists Karen Cantu, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1104130905
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVAN DYKE DENTAL ASSOCIATES, PA
Location Address9411 N LAMAR BLVDAustin, TX 78753-4178
Mailing Address2621 Ridgepoint Dr, Suite 130Austin, TX 78754-5232 · (512) 744-6000 · Fax (512) 334-2321
Fax(512) 334-2321
Organization SubpartNo
Authorized OfficialKaren CantuCredentialing Specialist · (512) 744-6000
Enumeration DateAugust 4, 2010
NPI 1104130905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 23148
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.
9411 N LAMAR BLVD, Austin, TX 78753

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
9411 N LAMAR BLVD
AUSTIN, TX 78753
Occupational Therapist
9411 N LAMAR BLVD
AUSTIN, TX 78753
Clinic/Center (Federally Qualified Health Center (FQHC))
9411 N LAMAR BLVD, STE 120
AUSTIN, TX 78753
Pediatrics
9411 N LAMAR BLVD
AUSTIN, TX 78753
Dentist (General Practice)
9411 N LAMAR BLVD
AUSTIN, TX 78753

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 Van Dyke Dental Associates, PA's NPI number?

The NPI number for Van Dyke Dental Associates, PA is 1104130905. It was assigned to this organization in the NPPES registry on August 4, 2010.

Where is Van Dyke Dental Associates, PA located?

Van Dyke Dental Associates, PA is located at 9411 N Lamar Blvd, Austin, TX 78753. The listed phone number is (512) 744-6000.

What is Van Dyke Dental Associates, PA'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 Van Dyke Dental Associates, PA was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.