| Blue Sky Family Dentistry | |
|
5915 La Crosse Ave Ste 105 Austin TX 78739-1747 | |
| (919) 740-5096 | |
| Not Available |
| Full Name | Blue Sky Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5915 La Crosse Ave Ste 105, Austin, Texas |
| Authorized Official Name and Position | Ben Corpron (OWNER) |
| Authorized Official Contact | 9197405096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Family Dentistry 1905 Crooked Ln Austin TX 78741-3907 Ph: () - | Blue Sky Family Dentistry 5915 La Crosse Ave Ste 105 Austin TX 78739-1747 Ph: (919) 740-5096 |
| NPI Number | 1679071633 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679071633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 33478 (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 | |