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JOLLYVILLE DENTAL PROFESSIONALS
NPI 1417155417
Dentist - General Practice in Austin, TX

Active since July 11, 2007
11672 JOLLYVILLE RD, AUSTIN, TX 78759(512) 918-0005(512) 918-0008 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jollyville Dental Professionals NPPES

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

JOLLYVILLE DENTAL PROFESSIONALS (NPI 1417155417) is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since July 2007. The organization lists Bruce Dee Roach, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1417155417
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOLLYVILLE DENTAL PROFESSIONALS
Location Address11672 JOLLYVILLE RDAustin, TX 78759-3935
Mailing Address11672 Jollyville RdAustin, TX 78759-3935 · (512) 918-0005 · Fax (512) 918-0008
Phone(512) 918-0005
Fax(512) 918-0008
Organization SubpartNo
Authorized OfficialBruce Dee RoachOwner/dentist · (512) 918-0005
Enumeration DateJuly 11, 2007
✔ NPI 1417155417 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 · 13219
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.
11672 JOLLYVILLE RD, Austin, TX 78759
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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 3

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

AUSTIN ELITE DENTAL & IMPLANT
Clinic/Center (Dental)
11672 JOLLYVILLE RD
AUSTIN, TX 78759
Travis County (737) 444-2626
DR. BRUCE DEE ROACH DDS
Dentist (General Practice)
11672 JOLLYVILLE RD
AUSTIN, TX 78759
Travis County (512) 918-0005
CODY J EMEIGH
Dentist
11672 JOLLYVILLE RD
AUSTIN, TX 78759
Travis County (512) 265-2463

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 Jollyville Dental Professionals's NPI number?

The NPI number for Jollyville Dental Professionals is 1417155417. It was assigned to this organization in the NPPES registry on July 11, 2007.

Where is Jollyville Dental Professionals located?

Jollyville Dental Professionals is located at 11672 Jollyville Rd, Austin, TX 78759. The listed phone number is (512) 918-0005.

What is Jollyville Dental Professionals'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 Jollyville Dental Professionals was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.