OrganizationActive
Evan Pedersen DMD, PLLC
NPI 1962110817 · Dental Clinic/Center · Austin, TX
Evan Pedersen DMD, PLLC is a Dental Clinic/Center organization in Austin, TX (NPI 1962110817).
Provider details
- NPI number
- 1962110817
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Evan Pedersen, Owner(815) 975-8758
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
18101 W State Highway 71 Ste 100
Austin, TX 78738-0017
Phone: (512) 777-0866
Street-level locationGet directions
Mailing address
6726 Lancret Hill Dr # B
Austin, TX 78745-4717
Other names (DBA / former)
- Doing business as
- Oris Dental Studio
Registry dates
- Enumerated
- 2022-11-09
- Last updated
- 2022-11-09
- Certified
- 2022-11-09
Frequently asked questions
- What is Evan Pedersen DMD, PLLC's NPI number?
- Evan Pedersen DMD, PLLC's National Provider Identifier (NPI) is 1962110817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evan Pedersen DMD, PLLC?
- Evan Pedersen DMD, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evan Pedersen DMD, PLLC located?
- Evan Pedersen DMD, PLLC's practice location on file with NPPES is 18101 W State Highway 71 Ste 100, Austin, TX 78738-0017.
- What is Evan Pedersen DMD, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Evan Pedersen DMD, PLLC is (512) 777-0866.
- Who is the authorized official for Evan Pedersen DMD, PLLC?
- The authorized official listed on Evan Pedersen DMD, PLLC's NPPES record is Evan Pedersen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evan Pedersen DMD, PLLC's NPI active?
- Yes — Evan Pedersen DMD, PLLC's NPI (1962110817) is active in the NPPES registry as of the last update on 2022-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.