Bruce Dee Roach in Austin - General Practice
Bruce Dee Roach - NPI 1225056690
Bruce Dee Roach is a General Practice in Austin, Texas. Bruce Dee Roach practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce Dee Roach is 1225056690. The last update date is 2007-07-11.
Bruce Dee Roach's current location address is 11672 Jollyville Rd, Austin, Texas. You can contact this provider via phone number 5129180005 and fax number 5129180008. The mailing address for Bruce Dee Roach is 11672 Jollyville Rd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Dee Roach |
|---|---|
| Address | 11672 Jollyville Rd, Austin, Texas |
| Phone Number | 5129180005 |
| Fax Number | 5129180008 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1225056690 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 11672 Jollyville Rd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787593935 |
| Phone Number | 5129180005 |
| Fax Number | 5129180008 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13219 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Bruce Dee Roach by the Centers for Medicare & Medicaid Services?
The Bruce Dee Roach has been assigned the NPI (National Provider Identifier) 1225056690 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Bruce Dee Roach is geographically located?
The Bruce Dee Roach is physically situated at the following location: 11672 Jollyville Rd, Austin, TX, 787593935.
What is the Bruce Dee Roach's specialty and taxonomy code?
The Bruce Dee Roach's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1225056690 assigned to Bruce Dee Roach?
The Bruce Dee Roach was issued its 1225056690 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bruce Dee Roach most recently updated or revised?
The information pertaining to Bruce Dee Roach, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-11.