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

Roanne Shoubaki

Individual provider Dentist · NPI 1053005504

Roanne Shoubaki is a Dentist in Georgetown, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2411 Williams Dr Ste 111
Georgetown, TX 78628-3268
Phone: (877) 800-5722
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 39434 (TX)
Dentist Taxonomy 122300000X · Licence 39434 (TX)

Record details

NPI number1053005504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 7, 2023
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address2423 Williams Dr Ste 107, Georgetown, TX 78628-3269

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