REGINA YUNUSOV DDS, PLLC


Address: 4419 Frontier Trl Ste 104, Austin, TX 78745-1567
Phone: 5124441133

REGINA YUNUSOV DDS, PLLC (NPI# 1811524861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811524861
Entity Type Organization
Organization Name REGINA YUNUSOV DDS, PLLC
Practice Address 4419 Frontier Trl Ste 104
Austin
TX 78745-1567
Mailing Address 520 Windy Way Dr
Victoria
TX 77904-3411
Practice Telephone 5124441133
Mailing Telephone 6198882406
Enumeration Date 2020-03-26
Last Update Date 2020-04-17
Authorized Official Name DR. REGINA YUNUSOV (DENTIST/OWNER)
Authorized Official Telephone 6198882406
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
South Austin Dental Associates Doing Business As Name - Organization

Office Location

Street Address 4419 FRONTIER TRL STE 104
City AUSTIN
State TX
Zip Code 78745-1567

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1407473101 Kamel Elhosary Clinic/Center 1221 W Ben White Blvd Ste 212a, Austin, TX 78704-7002 2020-06-29
1407496474 Kathryn James Ventures Clinic/Center 12335 Hymeadow Dr Ste 200, Austin, TX 78750-1935 2020-01-08
1508406513 Valencia Smiles Pllc Clinic/Center 911 W Anderson Ln Ste 115, Austin, TX 78757-1562 2020-01-08
1720625106 Joowon Cho Dds Pllc Clinic/Center 10700 Anderson Mill Rd Ste 300, Austin, TX 78750-2402 2019-12-05
1689219842 Explorer Dental, Pllc Clinic/Center 3300 Bee Caves Road Suite 290, Austin, TX 78746 2019-11-12
1093369712 The Tooth Inc. Clinic/Center 1700 E. Oltorf St, Suite 100, Austin, TX 78741 2019-07-31
1063065472 Ws Dental Clinic/Center 6801 S Ih 35 Ste 1-d, Austin, TX 78744-4824 2019-07-24
1649823253 Rayne Sleep Solutions LLC Clinic/Center 1221 W Ben White Blvd Ste 112a, Austin, TX 78704-6888 2019-07-23
1487207171 Enamel Dentistry Saltillo, Pllc Clinic/Center 901 E. 5th Street, Suite 170, Austin, TX 78702 2019-07-22
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Competitor

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City AUSTIN
Zip Code 78745

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Dataset Information

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.

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