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

Jollyville Dental Professionals

Organization General Practice Dentistry · NPI 1417155417

Jollyville Dental Professionals is a General Practice Dentistry in Austin, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

11672 Jollyville Rd
Austin, TX 78759-3935
Phone: (512) 918-0005
Fax: (512) 918-0008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 13219 (TX)

Record details

NPI number1417155417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Roach — Owner/Dentist · (512) 918-0005
NPI enumeratedJuly 11, 2007
Last updated in NPPESJuly 11, 2007
Mailing address11672 Jollyville Rd, Austin, TX 78759-3935

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