Austin Dsg, Pllc | |
5000 Davis Ln Suite #101 Austin TX 78749-3683 | |
(512) 441-6200 | |
Not Available |
Full Name | Austin Dsg, Pllc |
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Speciality | Dentist - Endodontics |
Location | 5000 Davis Ln, Austin, Texas |
Authorized Official Name and Position | Pejman Khosravian (CEO) |
Authorized Official Contact | 5127226338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Austin Dsg, Pllc 1920 Corporate Dr Unit #107a San Marcos TX 78666-6283 Ph: (512) 722-6338 | Austin Dsg, Pllc 5000 Davis Ln Suite #101 Austin TX 78749-3683 Ph: (512) 441-6200 |
NPI Number | 1518313337 |
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Provider Enumeration Date | 05/11/2016 |
Last Update Date | 05/11/2016 |
Identifier | Type | State | Issuer |
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1518313337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 25904 (Texas) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 25904 (Texas) | Secondary |
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 | |