Austin Dental Care | |
4419 Frontier Trl Ste 104 Austin TX 78745-1567 | |
(512) 444-1133 | |
(512) 445-0552 |
Full Name | Austin Dental Care |
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Speciality | Clinic/Center |
Location | 4419 Frontier Trl Ste 104, Austin, Texas |
Authorized Official Name and Position | Evan Matthysse (SOLE OWNER) |
Authorized Official Contact | 5124441133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Austin Dental Care 4419 Frontier Trl Ste 104 Austin TX 78745-1567 Ph: (512) 444-1133 | Austin Dental Care 4419 Frontier Trl Ste 104 Austin TX 78745-1567 Ph: (512) 444-1133 |
NPI Number | 1699503375 |
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Provider Enumeration Date | 07/23/2024 |
Last Update Date | 07/23/2024 |
Medicare PECOS PAC ID | 9830638469 |
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Medicare Enrollment ID | O20240828000190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699503375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Evan Matthysse |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1205296803 PECOS PAC ID: 9234497306 Enrollment ID: I20240828000176 |
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 | |