Austin Oral & Maxillofacial Surgery Associates | |
711 W 38th St Suite A-1 Austin TX 78705-1121 | |
(512) 454-1220 | |
(512) 467-0363 |
Full Name | Austin Oral & Maxillofacial Surgery Associates |
---|---|
Speciality | Dentist |
Location | 711 W 38th St, Austin, Texas |
Authorized Official Name and Position | Janice Marie Ashton (MANAGED CARE COORDINATOR) |
Authorized Official Contact | 5124541220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Austin Oral & Maxillofacial Surgery Associates 711 W 38th St Suite A-1 Austin TX 78705-1121 Ph: (512) 454-1220 | Austin Oral & Maxillofacial Surgery Associates 711 W 38th St Suite A-1 Austin TX 78705-1121 Ph: (512) 454-1220 |
NPI Number | 1508875147 |
---|---|
Provider Enumeration Date | 08/05/2006 |
Last Update Date | 01/14/2010 |
Medicare PECOS PAC ID | 3971505645 |
---|---|
Medicare Enrollment ID | O20070208000501 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508875147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Texas) | Primary |
Provider Name | Ryan Weber |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1720473515 PECOS PAC ID: 3971904970 Enrollment ID: I20210629000488 |
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 | |