MARC AMSILI DDS PA (NPI# 1073611273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073611273 |
Entity Type | Organization |
Organization Name | MARC AMSILI DDS PA |
Other Organization Name | OMNI DENTAL GROUP |
Practice Address |
1110 W William Cannon Dr Suite 401 Austin TX 78745-5468 |
Practice Telephone | 5124455012 |
Practice Fax Number | 5124455721 |
Mailing Telephone | 5124455012 |
Mailing Fax Number | 5124455721 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. MARC A AMSILI (OWNER) |
Authorized Official Telephone | 5122505012 |
Authorized Official Credential | DDS, PA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
16471 | TX | Dental Providers |
Other Name | Type Code |
---|---|
OMNI DENTAL GROUP | Doing Business As Name - Organization |
Street Address |
1110 W WILLIAM CANNON DR SUITE 401 |
City | AUSTIN |
State | TX |
Zip Code | 78745-5468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972114056 | Bakhtiar Sadruddin Bana | Dentist | 1110 W William Cannon Dr, Austin, TX 78745-5468 | 2020-08-12 |
1053795039 | Andrew John Gentile | Dentist | 1110 W William Cannon Dr, Austin, TX 78745-5468 | 2015-07-19 |
1114326881 | Thriving Life Counseling | Community/Behavioral Health | 1110 W William Cannon Dr, Suite 301, Austin, TX 78745-5468 | 2014-08-19 |
1932478229 | Heather Schulze | Dietitian, Registered | 1110 W William Cannon Dr, Suite 502, Austin, TX 78745-5468 | 2011-12-15 |
1417198961 | Alison Anne Hibbs | Nurse Practitioner | 1110 W William Cannon Dr, Suite 502, Austin, TX 78745-5468 | 2009-03-12 |
1780740886 | Manuel A. Torres, M.d., P.a. | Pediatrics | 1110 W William Cannon Dr, Suite 502, Austin, TX 78745-5468 | 2006-12-31 |
1982770376 | Madhurima Gupta | Pediatrics | 1110 W William Cannon Dr, Ste 502, Austin, TX 78745-5468 | 2006-11-28 |
1104908524 | Gloria Michelle Amsili | Dentist | 1110 W William Cannon Dr, Suite 401, Austin, TX 78745-5468 | 2006-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
Find all providers in zip 78745 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
1356956882 | Pediatric Dental Professionals, Pllc | Dentist | 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 | 2020-09-11 |
1043823727 | Dimple Sharma Pllc | Dentist | 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 | 2020-08-24 |
1295343036 | Nair & Pillai Serenity Dental, Pllc | Dentist | 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 | 2020-07-17 |
1972130672 | Meredith Rae Mosier | Dentist | 421 W 3rd St Apt 811, Austin, TX 78701-4166 | 2020-03-24 |
1144863861 | Michelle Hedgecock Dds Pllc | Dentist | 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 | 2019-10-25 |
1275174799 | Debora L Ayres | Dentist | 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 | 2019-10-06 |
1922649730 | Sarah Workman | Dentist | 11615 Angus Rd Ste 110, Austin, TX 78759-4006 | 2019-10-02 |
1568013761 | River Place Dental | Dentist | 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 | 2019-09-28 |
1508411372 | Abram Ortega | Dentist | 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 | 2019-08-07 |
Find all providers in AUSTIN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.