Berry Springs Dental
Dentist, General Practice in Georgetown, TX. Organization (NPI-2).
NPI number1679449458
StatusActive
Last updated in NPPESOct 16, 2025
Details
- NPI
- 1679449458
- Entity type
- Organization (NPI-2)
- Legal business name
- Berry Springs Dental
- Organization subpart
- No
- Enumeration date
- Oct 16, 2025
- Certification date
- Oct 16, 2025
- Last updated
- Oct 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
2651 E University Ave Ste 400500Georgetown, TX 78626-3329
Phone 512-942-7006
Mailing address
2651 E University Ave Ste 400500Georgetown, TX 78626-3329
Phone 512-942-7006
Authorized official
Payal Patel
Dentist
4047239734
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