| Austin Orthodontic Specialists | |
|
6425 South Ih-35 Suite 100 Austin TX 78744-4230 | |
| (512) 447-5194 | |
| (512) 447-7848 |
| Full Name | Austin Orthodontic Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6425 South Ih-35, Austin, Texas |
| Authorized Official Name and Position | Michael Martin Dillingham (ORTHODONTIST) |
| Authorized Official Contact | 5124475194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Orthodontic Specialists 6425 South Ih-35 Suite 100 Austin TX 78744-4230 Ph: (512) 447-5194 | Austin Orthodontic Specialists 6425 South Ih-35 Suite 100 Austin TX 78744-4230 Ph: (512) 447-5194 |
| NPI Number | 1720132905 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720132905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 15903 (Texas) | Primary |
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