OrganizationActive
Jollyville Dental Professionals
NPI 1417155417 · General Practice Dentistry · Austin, TX
Jollyville Dental Professionals is a General Practice Dentistry organization in Austin, TX (NPI 1417155417).
Provider details
- NPI number
- 1417155417
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bruce Roach, Owner/Dentist(512) 918-0005
- License
- 13219 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
11672 Jollyville Rd
Austin, TX 78759-3935
Phone: (512) 918-0005
Fax: (512) 918-0008
Street-level locationGet directions
Mailing address
11672 Jollyville Rd
Austin, TX 78759-3935
Registry dates
- Enumerated
- 2007-07-11
- Last updated
- 2007-07-11
Frequently asked questions
- What is Jollyville Dental Professionals's NPI number?
- Jollyville Dental Professionals's National Provider Identifier (NPI) is 1417155417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jollyville Dental Professionals?
- Jollyville Dental Professionals is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jollyville Dental Professionals located?
- Jollyville Dental Professionals's practice location on file with NPPES is 11672 Jollyville Rd, Austin, TX 78759-3935.
- What is Jollyville Dental Professionals's phone number?
- The practice phone number listed in the NPPES registry for Jollyville Dental Professionals is (512) 918-0005.
- Who is the authorized official for Jollyville Dental Professionals?
- The authorized official listed on Jollyville Dental Professionals's NPPES record is Bruce Roach, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jollyville Dental Professionals's NPI active?
- Yes — Jollyville Dental Professionals's NPI (1417155417) is active in the NPPES registry as of the last update on 2007-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.