SPECIALTY DENTAL MANAGEMENT LLC – Pediatric Dentistry, NPI 1073260451

SPECIALTY DENTAL MANAGEMENT LLC is a healthcare provider. based in Lakeway, Texas. specializing in Pediatric Dentistry. The NPI Number for SPECIALTY DENTAL MANAGEMENT LLC is 1073260451

Main info

Organization
Name
SPECIALTY DENTAL MANAGEMENT LLC
NPI
1073260451
Phone
(512) 255-5900
Address
3313 RR 620 S Ste 300
Authorized Official
JIM B USDAN CEO
Enumeration Date
7 March 2022
Last Update Date
28 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for SPECIALTY DENTAL MANAGEMENT LLC

  • 3313 RR 620 S Ste 300

    Lakeway, TX 787386871

    Phone: (512) 255-5900

    Type: Location

  • 1500 S AW GRIMES BLVD

    SUITE 190

    ROUND ROCK, TX 78664

    Phone: (512) 255-5900

    Fax: (512) 485-2879

    Type: Mailing

  • 5400 BRODIE LANE

    SUITE 260

    SUNSET VALLEY, TX 787452525

    Phone: (512) 255-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78738)

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Reviews

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Frequently asked questions

Can I cross-check SPECIALTY DENTAL MANAGEMENT LLC using NPI 1073260451?
NPI 1073260451 belongs to SPECIALTY DENTAL MANAGEMENT LLC; compare other details if you need extra assurance.
Active or inactive — what applies to SPECIALTY DENTAL MANAGEMENT LLC?
You should see SPECIALTY DENTAL MANAGEMENT LLC as active in CMS-hosted NPPES data.
What expertise is attributed to SPECIALTY DENTAL MANAGEMENT LLC?
SPECIALTY DENTAL MANAGEMENT LLC's specialty line reads Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SPECIALTY DENTAL MANAGEMENT LLC?
Travel planning: use Lakeway, Texas as the reference point for SPECIALTY DENTAL MANAGEMENT LLC, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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