Provider Demographics
NPI:1619533924
Name:MEGAN MOBLEY DDS PLLC
Entity Type:Organization
Organization Name:MEGAN MOBLEY DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LAUGHLIN-MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-545-5463
Mailing Address - Street 1:5618 ABILENE TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-2111
Mailing Address - Country:US
Mailing Address - Phone:512-545-5463
Mailing Address - Fax:
Practice Address - Street 1:4407 BEE CAVE ROAD
Practice Address - Street 2:BUILDING 2, SUITE 221
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-452-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental