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3601 W William Cannon Dr Bldg 4 Austin TX 78749-1533 | |
(512) 892-0817 | |
(512) 899-2111 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 3601 W William Cannon Dr Bldg 4, Austin, Texas |
Authorized Official Name and Position | John S Barnes (CONTRACTS ADMIN) |
Authorized Official Contact | 5128920817 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2860 Michelle Fl 2 Irvine CA 92606-1008 Ph: (714) 368-2077 | 3601 W William Cannon Dr Bldg 4 Austin TX 78749-1533 Ph: (512) 892-0817 |
NPI Number | 1174829162 |
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Provider Enumeration Date | 02/08/2011 |
Last Update Date | 02/08/2011 |
Identifier | Type | State | Issuer |
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1174829162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (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 | |