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3115 S Lamar Blvd Austin TX 78704-5803 | |
(512) 640-4090 | |
(512) 386-1142 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3115 S Lamar Blvd, Austin, Texas |
Authorized Official Name and Position | Steven Cook (OWNER) |
Authorized Official Contact | 5124518256 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1901 Barton Hills Dr Austin TX 78704-3217 Ph: (512) 640-4090 | 3115 S Lamar Blvd Austin TX 78704-5803 Ph: (512) 640-4090 |
NPI Number | 1801373782 |
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Provider Enumeration Date | 07/24/2018 |
Last Update Date | 07/24/2018 |
Identifier | Type | State | Issuer |
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1801373782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |