| Austin Professional Dental | |
|
615 W Slaughter Ln Suite 117 Austin TX 78748-2094 | |
| (512) 233-6825 | |
| Not Available |
| Full Name | Austin Professional Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 615 W Slaughter Ln, Austin, Texas |
| Authorized Official Name and Position | Jazmin Nolen (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 9729828490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Professional Dental 5400 Lyndon B Johnson Fwy Suite 944 Dallas TX 75240-1000 Ph: (972) 982-8490 | Austin Professional Dental 615 W Slaughter Ln Suite 117 Austin TX 78748-2094 Ph: (512) 233-6825 |
| NPI Number | 1194021154 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194021154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22958 (Texas) | Primary |
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