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7010 W Highway 71 Ste 225 Austin TX 78735-8341 | |
(732) 428-9958 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 7010 W Highway 71 Ste 225, Austin, Texas |
Authorized Official Name and Position | Devisree Nekkanti (DR.) |
Authorized Official Contact | 7324289958 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16301 Donoher Dr Austin TX 78717-4203 Ph: (732) 318-2848 | 7010 W Highway 71 Ste 225 Austin TX 78735-8341 Ph: (732) 428-9958 |
NPI Number | 1356075295 |
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Provider Enumeration Date | 07/15/2022 |
Last Update Date | 11/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356075295 | NPI | - | NPPES |
45859384 | Other | TX | DRIVERS LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (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 | |