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ROSE DENTAL GROUP ANGUS
NPI 1902524861
Dentist - General Practice in Austin, TX

Active since August 17, 2022
11615 ANGUS RD STE 110, AUSTIN, TX 78759(512) 795-9643 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 14, 2022, Aug 17, 2022 (2 updates tracked since 2022).

About Rose Dental Group Angus NPPES

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

ROSE DENTAL GROUP ANGUS (NPI 1902524861) is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since August 2022. The organization lists Amanda Lightfoot, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1902524861
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRDG ANGUS ROAD, PLLC
Location Address11615 ANGUS RD STE 110Austin, TX 78759-4006
Mailing Address11615 Angus Rd Ste 110Austin, TX 78759-4006
Phone(512) 795-9643
Organization SubpartNo
Authorized OfficialAmanda LightfootAuthorized Representative · (214) 702-0708
Enumeration DateAugust 17, 2022
Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1902524861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
11615 ANGUS RD STE 110, Austin, TX 78759
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Other Names 1

Doing Business AsRose Dental Group Angus

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

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. FARAH QAQA DMD
Dentist (General Practice)
11615 ANGUS RD STE 110
AUSTIN, TX 78759
Travis County (512) 767-1814
DR. SARAH WORKMAN DMD
Dentist (General Practice)
11615 ANGUS RD STE 110
AUSTIN, TX 78759
Travis County (512) 379-2613

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 Rdg Angus Road, PLLC's NPI number?

The NPI number for Rdg Angus Road, PLLC is 1902524861. It was assigned to this organization in the NPPES registry on August 17, 2022. The provider is doing business as Rose Dental Group Angus.

Where is Rdg Angus Road, PLLC located?

Rdg Angus Road, PLLC is located at 11615 Angus Rd Ste 110, Austin, TX 78759. The listed phone number is (512) 795-9643.

What is Rdg Angus Road, PLLC'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 Rdg Angus Road, PLLC was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.