Provider Demographics
NPI:1851761852
Name:BENJAMIN L. NEMEC, PLLC
Entity Type:Organization
Organization Name:BENJAMIN L. NEMEC, PLLC
Other - Org Name:THE HILLS DENTAL SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEMEC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-347-0044
Mailing Address - Street 1:6836 BEE CAVES RD
Mailing Address - Street 2:BUILDING 1, SUITE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5059
Mailing Address - Country:US
Mailing Address - Phone:512-347-0044
Mailing Address - Fax:512-347-9844
Practice Address - Street 1:6836 BEE CAVES RD
Practice Address - Street 2:BUILDING 1, SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5059
Practice Address - Country:US
Practice Address - Phone:512-347-0044
Practice Address - Fax:512-347-9844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19428122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1982975595OtherINDIVIDUAL NPI
TX1437271939OtherINDIVIDUAL NPI