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CEDAR PARK PERIODONTICS, PC
NPI 1295939759
Dentist - Periodontics in Cedar Park, TX

Active since June 11, 2007
209 DENALI PASS, SUITE A, CEDAR PARK, TX 78613(512) 528-1400(512) 528-1466 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedar Park Periodontics, Pc NPPES

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

CEDAR PARK PERIODONTICS, PC (NPI 1295939759) is a healthcare organization registered as a periodontics in Cedar Park, Texas and active in the NPI registry since June 2007. The organization lists David Roy Reeves, President, as its authorized official.

NPPES Registry Identity

NPI1295939759
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCEDAR PARK PERIODONTICS, PC
Location Address209 DENALI PASS, SUITE ACedar Park, TX 78613
Mailing Address209 Denali Pass, Suite ACedar Park, TX 78613 · (512) 528-1400 · Fax (512) 528-1466
Phone(512) 528-1400
Fax(512) 528-1466
Organization SubpartNo
Authorized OfficialDavid Roy ReevesPresident · (512) 528-1400
Enumeration DateJune 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295939759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 21653
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
209 DENALI PASS, Cedar Park, TX 78613
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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 2

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

DR. SAMIRA M TOLOUE DDS, MSD
Dentist (Periodontics)
209 DENALI PASS, STE A
CEDAR PARK, TX 78613
Williamson County (512) 528-1400
DR. JAY JERALD JENSEN D.D.S.
Dentist (General Practice)
209 DENALI PASS, SUITE B
CEDAR PARK, TX 78613
Williamson County (512) 782-0821

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 Cedar Park Periodontics, PC's NPI number?

The NPI number for Cedar Park Periodontics, PC is 1295939759. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Cedar Park Periodontics, PC located?

Cedar Park Periodontics, PC is located at 209 Denali Pass Suite A, Cedar Park, TX 78613. The listed phone number is (512) 528-1400.

What is Cedar Park Periodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Cedar Park Periodontics, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.