OrganizationActive
Specialty Dental Management LLC
NPI 1073260451 · Pediatric Dentistry · Sunset Valley, TX
Provider details
- NPI number
- 1073260451
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jim Usdan, Ceo(615) 727-3060
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5400 Brodie Lane
Suite 260
Sunset Valley, TX 78745-2525
Phone: (512) 255-5900
Street-level locationGet directions
Mailing address
1500 S Aw Grimes Blvd
Round Rock, TX 78664
Additional practice locations (1)
- 3313 Rr 620 S Ste 300Lakeway, TX 78738-6871Phone: (512) 255-5900
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2023-02-28
- Certified
- 2023-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.