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

South Austin Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1043927197

South Austin Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Austin, Texas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

706B W Ben White Blvd # 194
Austin, TX 78704-7153
Phone: (512) 692-7140
Show map & directions

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 number1043927197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nitin Raju — Oral Surgeon · (512) 692-7140
NPI enumeratedOctober 28, 2022
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022
Mailing address706b W Ben White Blvd # 194, Austin, TX 78704-7153

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