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Search › Texas › 122300000X

Brent Fossum, D.D.S

NPI 1780996959 · on the registry since 2010 · sole proprietor

Practice

Address
5114 Balcones Woods Dr Ste 308
Austin, TX 78759
Phone
(512) 346-1900
Fax
(512) 717-0217
Organisation at this address
Bcd Dental Group
Great Grins Dental Pllc
Nest Infant Support, Pllc
Cervantes Healthcare, Lllp
Texas Physical Therapy Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas