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

East Austin Oral Surgery PLLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1215629340

East Austin Oral Surgery PLLC is an Oral & Maxillofacial Surgery (D.M.D.) in Austin, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2832 E Mlk Blvd Apt 102
Austin, TX 78702-1504
Phone: (210) 846-3890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1215629340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Largent — Owner · (210) 846-3890
NPI enumeratedMay 25, 2023
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address5001 Westview Dr, Austin, TX 78731-4737

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