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AUSTIN MODERN DENTISTRY
NPI 1174829162
Dentist - General Practice in Austin, TX

Active since February 08, 2011
3601 W WILLIAM CANNON DR BLDG 4, AUSTIN, TX 78749(512) 892-0817(512) 899-2111 Get Directions Write a Review

NPPES record last updated: February 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Austin Modern Dentistry NPPES

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

AUSTIN MODERN DENTISTRY (NPI 1174829162) is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since February 2011. The organization lists John S Barnes, Contracts Admin, as its authorized official.

NPPES Registry Identity

NPI1174829162
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAUSTIN MODERN DENTISTRY, PC
Location Address3601 W WILLIAM CANNON DR BLDG 4Austin, TX 78749-1533
Mailing Address2860 Michelle Fl 2Irvine, CA 92606-1008 · (714) 368-2077 · Fax (714) 368-2092
Phone(512) 892-0817
Fax(512) 899-2111
Organization SubpartNo
Authorized OfficialJohn S BarnesContracts Admin · (512) 892-0817
Enumeration DateFebruary 8, 2011
✔ NPI 1174829162 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.
3601 W WILLIAM CANNON DR BLDG 4, Austin, TX 78749
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Other Names 1

Doing Business AsAustin Modern Dentistry

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

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 Austin Modern Dentistry, PC's NPI number?

The NPI number for Austin Modern Dentistry, PC is 1174829162. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Austin Modern Dentistry.

Where is Austin Modern Dentistry, PC located?

Austin Modern Dentistry, PC is located at 3601 W William Cannon Dr Bldg 4, Austin, TX 78749. The listed phone number is (512) 892-0817.

What is Austin Modern Dentistry, PC's specialty?

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

What insurance does Austin Modern Dentistry, PC 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 1 other insurer list Austin Modern Dentistry, PC 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 Austin Modern Dentistry, PC was last updated on February 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.