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3508 Far West Blvd Ste 310 Austin TX 78731-3080 | |
| (512) 346-5738 | |
| (512) 346-3241 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3508 Far West Blvd Ste 310, Austin, Texas |
| Authorized Official Name and Position | Brian D Tucker (DENTIST/OWNER) |
| Authorized Official Contact | 5123465738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3508 Far West Blvd Ste 310 Austin TX 78731-3080 Ph: (512) 346-5738 | 3508 Far West Blvd Ste 310 Austin TX 78731-3080 Ph: (512) 346-5738 |
| NPI Number | 1699074419 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699074419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22655 (Texas) | 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 | |