| River Rock Dental | |
|
5717 S Interstate 35 Ste 101 Austin TX 78744-2711 | |
| (512) 462-4775 | |
| Not Available |
| Full Name | River Rock Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5717 S Interstate 35 Ste 101, Austin, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 6308773520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Rock Dental Po Box 734753 Dallas TX 75373-4753 Ph: (972) 869-3789 | River Rock Dental 5717 S Interstate 35 Ste 101 Austin TX 78744-2711 Ph: (512) 462-4775 |
| NPI Number | 1336603273 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336603273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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