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

Riverside Practice, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1679062020

Riverside Practice, LLC is an Oral and Maxillofacial Surgery (Dentist) in Austin, Texas. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2410 E Riverside Dr Ste H12
Austin, TX 78741-3054
Phone: (512) 442-1224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1679062020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asha Patel — President · (225) 802-9534
NPI enumeratedMay 1, 2018
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address12613 Scofield Farms Dr, Austin, TX 78727-4542

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