|
| |
|
3407 Wells Branch Pkwy Ste 700 Austin TX 78728-6619 | |
| (512) 244-7677 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3407 Wells Branch Pkwy Ste 700, Austin, Texas |
| Authorized Official Name and Position | Harish Gogineni (CHIEF DENTAL OFFICER) |
| Authorized Official Contact | 7329864338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3407 Wells Branch Pkwy Ste 700 Austin TX 78728-6619 Ph: (512) 244-7677 | 3407 Wells Branch Pkwy Ste 700 Austin TX 78728-6619 Ph: (512) 244-7677 |
| NPI Number | 1275296717 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275296717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 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 | |