| Austin Primary Dental Inc | |
|
6700 W Gate Blvd Ste 103 Austin TX 78745-4867 | |
| (512) 440-1333 | |
| (512) 440-0484 |
| Full Name | Austin Primary Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 6700 W Gate Blvd, Austin, Texas |
| Authorized Official Name and Position | Jayashree Kyatam (PRESIDENT) |
| Authorized Official Contact | 5124401333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Primary Dental Inc 6700 W Gate Blvd Ste 103 Austin TX 78745-4867 Ph: (512) 440-1333 | Austin Primary Dental Inc 6700 W Gate Blvd Ste 103 Austin TX 78745-4867 Ph: (512) 440-1333 |
| NPI Number | 1497991210 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 12/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497991210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22247 (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 | |