Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Austin Modern Dentistry, PC

Organization General Practice Dentistry · NPI 1174829162

Austin Modern Dentistry, PC is a General Practice Dentistry in Austin, Texas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3601 W William Cannon Dr Bldg 4
Austin, TX 78749-1533
Phone: (512) 892-0817
Fax: (512) 899-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1174829162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Barnes — Contracts Admin · (512) 892-0817
Other names Austin Modern Dentistry
NPI enumeratedFebruary 8, 2011
Last updated in NPPESFebruary 8, 2011
Mailing address2860 Michelle Fl 2, Irvine, CA 92606-1008

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