Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUBASH MUTYALA, D.D.S.
ActiveSUBASH MUTYALA, D.D.S. is a Pediatric Dentistry healthcare provider located in ROUND ROCK, Texas. NPI 1639361538 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ROUND ROCK, TX
Registration Details
- NPI Number
- 1639361538
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2007 (19.027998506852 yrs)
- Last Updated
- Feb 16, 2010
- License
-
23436 (TX)
Practice Information
- Address
-
1500 A W GRIMES BLVDSTE 130ROUND ROCK, TX, 786647836Browse TX providers · Browse ZIP 78664
- Phone
- 5122387300
- Fax
- 5122387301
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in ROUND ROCK, TX
| Name | Credential | NPI |
|---|---|---|
| MARIA I MENDOZA | DDS | 1801802830 |
| DR. KELSEY LEIGH BOOKMYER | D.D.S. | 1992863559 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.