RIVER ROCK DENTAL
NPI 1356616825
Dentist - General Practice in Austin, TX

Active since March 17, 2012
1192 AIRPORT BLVD, SUITE B, AUSTIN, TX 78702(512) 820-6927(512) 262-7074 Get Directions Write a Review

NPPES record last updated: March 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About River Rock Dental NPPES

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

RIVER ROCK DENTAL (NPI 1356616825) is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since March 2012. The organization lists Jackson Booth, Owner, as its authorized official.

NPPES Registry Identity

NPI1356616825
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRIVER ROCK - AIRPORT, P.C.
Location Address1192 AIRPORT BLVD, SUITE BAustin, TX 78702-3176
Mailing AddressPo Box 2638Kyle, TX 78640-1817 · (512) 385-4700 · Fax (512) 389-9797
Fax(512) 262-7074
Organization SubpartNo
Authorized OfficialJackson BoothOwner · (512) 739-9440
Enumeration DateMarch 17, 2012
NPI 1356616825 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 · 23496
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.
1192 AIRPORT BLVD, Austin, TX 78702

Other Names 1

Doing Business AsRiver Rock 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 River Rock - Airport, P.C.'s NPI number?

The NPI number for River Rock - Airport, P.C. is 1356616825. It was assigned to this organization in the NPPES registry on March 17, 2012. The provider is doing business as River Rock Dental.

Where is River Rock - Airport, P.C. located?

River Rock - Airport, P.C. is located at 1192 Airport Blvd Suite B, Austin, TX 78702. The listed phone number is (512) 820-6927.

What is River Rock - Airport, P.C.'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 River Rock - Airport, P.C. was last updated on March 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.