OrganizationActive
East Austin Oral Surgery PLLC
NPI 1215629340 · Oral & Maxillofacial Surgery (D.M.D.) · Austin, TX
Provider details
- NPI number
- 1215629340
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Largent, Owner(210) 846-3890
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2832 E Mlk Blvd Apt 102
Austin, TX 78702-1504
Phone: (210) 846-3890
Approximate (ZIP-level) locationGet directions
Mailing address
5001 Westview Dr
Austin, TX 78731-4737
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2024-06-14
- Certified
- 2024-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.