Prana Dental P.C.
Dentist, General Practice in Del Valle, TX. Organization (NPI-2).
NPI number1366723595
StatusActive
Last updated in NPPESSep 1, 2011
Details
- NPI
- 1366723595
- Entity type
- Organization (NPI-2)
- Legal business name
- Prana Dental P.C.
- Organization subpart
- No
- Enumeration date
- Sep 1, 2011
- Last updated
- Sep 1, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 21522 | TX | Yes |
Practice location
4529 Hwy 71 EDel Valle, TX 78617-3280
Phone 512-507-3771
Mailing address
2604 Rock Terrace DrAustin, TX 78704-3842
Phone 512-507-3771
Authorized official
Todd R Garcia
Dentist
5125073771
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