OrganizationActive
Carus Dental PC
NPI 1114477353 · Oral and Maxillofacial Surgery (Dentist) · Round Rock, TX
Provider details
- NPI number
- 1114477353
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Carus Dental PC
- Organization subpart
- Yes
- Authorized official
- Celia Hayes, Credentialing Coordinator(217) 540-2100
- License
- 15919 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
16000 Park Valley Dr Ste 160
Round Rock, TX 78681-4009
Phone: (512) 733-8308
Fax: (512) 310-0451
Approximate (ZIP-level) locationGet directions
Mailing address
16000 Park Valley Dr Ste 160
Round Rock, TX 78681-4009
Other names (DBA / former)
- Doing business as
- Carus Surgical Center Round Rock
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.