NPI 1215629340

East Austin Oral Surgery PLLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Austin, TX

Practice location

Address: 2832 E Mlk Blvd APT 102, Austin, TX 78702-1504
Phone: (210) 846-3890
Mailing address: 5001 Westview Dr, Austin, TX 78731-4737

Authorised official

Name: Matthew Largent
Title: Owner
Phone: (210) 846-3890

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Texas →

Registry record

NPI: 1215629340
Entity type: Organization
NPI issued: 25 May 2023
Record last updated: 14 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.