Provider Demographics
NPI:1831674795
Name:THE DENTAL STANDARD
Entity Type:Organization
Organization Name:THE DENTAL STANDARD
Other - Org Name:DENTAL CARE OF AUSTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-955-5500
Mailing Address - Street 1:9225 W PARMER LN STE 104
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4694
Mailing Address - Country:US
Mailing Address - Phone:512-955-5500
Mailing Address - Fax:
Practice Address - Street 1:9225 W PARMER LN STE 104
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4694
Practice Address - Country:US
Practice Address - Phone:512-955-5500
Practice Address - Fax:512-955-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental