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Organization

Mydental at Georgetown PLLC

NPI Record: ActiveDentist
NPI1255126348
Georgetown, Texas

Provider's NPPES record last updated: April 10, 2025

Overview

Entity Type
Organization
NPI
1255126348
Primary Specialty
Dentist
Practice Location
Georgetown, Texas
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:26 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Dental Providers

    Primary

    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

    Taxonomy code 122300000X
  • Dentist

    Endodontics

    Dental Providers

    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

    Taxonomy code 1223E0200X
  • Dentist

    General Practice

    Dental Providers

    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.

    Taxonomy code 1223G0001X
  • Dentist

    Pediatric Dentistry

    Dental Providers

    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

    Taxonomy code 1223P0221X
  • Dentist

    Periodontics

    Dental Providers

    That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

    Taxonomy code 1223P0300X
  • Dentist

    Prosthodontics

    Dental Providers

    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

    Taxonomy code 1223P0700X
  • Dentist

    Oral and Maxillofacial Surgery

    Dental Providers

    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

    Taxonomy code 1223S0112X

Practice Locations

Practice Location

1310 Williams Road, Suite 306

Georgetown, Texas 78628

Phone: (512) 524-9121

Other Names

  • Mydental at GeorgetownReported April 5, 2025

Record Information

Enumeration Date
April 10, 2025
Provider's NPPES Record Last Updated
April 10, 2025
Certification Date
April 5, 2025
NPISignal NPPES Dataset
August 2026

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