Austin Family Dentistry | |
4631 Airport Blvd Ste 120a Austin TX 78751-3453 | |
(979) 777-3258 | |
Not Available |
Full Name | Austin Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 4631 Airport Blvd, Austin, Texas |
Authorized Official Name and Position | Ashley Smitherman (OWNER/PROVIDER) |
Authorized Official Contact | 9797773258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Austin Family Dentistry 4631 Airport Blvd Ste 120a Austin TX 78751-3453 Ph: (979) 777-3258 | Austin Family Dentistry 4631 Airport Blvd Ste 120a Austin TX 78751-3453 Ph: (979) 777-3258 |
NPI Number | 1255794087 |
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Provider Enumeration Date | 03/30/2016 |
Last Update Date | 03/30/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255794087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 28187 (Texas) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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