GREAT GRINS DENTAL PLLC
NPI 1144839390
Clinic/Center - Dental in Austin, TX

Q: What is Great Grins Dental PLLC's NPI number?

The NPI number for Great Grins Dental PLLC is 1144839390. It was assigned to this organization in the NPPES registry on July 23, 2020.

Q: What is Great Grins Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since July 23, 2020

5114 BALCONES WOODS DR STE 308, AUSTIN, TX 78759(512) 346-1900 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Great Grins Dental Pllc NPPES

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

GREAT GRINS DENTAL PLLC (NPI 1144839390) is a healthcare organization registered as a dental in Austin, Texas and active in the NPI registry since July 2020. The organization lists Brent Eugene Fossum, Dentist, as its authorized official.

NPPES Registry Identity

NPI1144839390

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameGREAT GRINS DENTAL PLLC

Location Address5114 BALCONES WOODS DR STE 308Austin, TX 78759-5212

Mailing Address5672 Rain Creek PkwyAustin, TX 78759-6201 · (713) 972-2044

Phone(512) 346-1900

Organization SubpartNo

Authorized OfficialBrent Eugene FossumDentist · (713) 972-2044

Enumeration DateJuly 23, 2020

NPPES CertifiedJuly 23, 2020

✔ NPI 1144839390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

5114 BALCONES WOODS DR STE 308, Austin, TX 78759

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Other Providers at the Same Location NPPES

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

DR. ARTHUR PATRICK IMPERIAL D.D.S., P.C

Dentist (General Practice)

5114 BALCONES WOODS DR STE 308
AUSTIN, TX 78759

Travis County (512) 346-1900

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 Great Grins Dental PLLC's NPI number?

The NPI number for Great Grins Dental PLLC is 1144839390. It was assigned to this organization in the NPPES registry on July 23, 2020.

Where is Great Grins Dental PLLC located?

Great Grins Dental PLLC is located at 5114 Balcones Woods Dr Ste 308, Austin, TX 78759. The listed phone number is (512) 346-1900.

What is Great Grins Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Great Grins Dental PLLC was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.