Provider Demographics
NPI:1376262071
Name:ABSR DENTAL ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:ABSR DENTAL ASSOCIATES, PLLC
Other - Org Name:ACCENT SMILES DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AJAPAL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BHANGU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:512-255-4229
Mailing Address - Street 1:7700 CAT HOLLOW DR STE 208
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5799
Mailing Address - Country:US
Mailing Address - Phone:512-255-4229
Mailing Address - Fax:
Practice Address - Street 1:7700 CAT HOLLOW DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5796
Practice Address - Country:US
Practice Address - Phone:512-255-4229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental