| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5531 Burnet Rd, Austin, Texas |
| Authorized Official Name and Position | Pam Buckhanan (INSURANCE COORDINATOR) |
| Authorized Official Contact | 4805605183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5531 Burnet Rd Austin TX 78756 Ph: (480) 560-5183 | 5531 Burnet Rd Austin TX 78756 Ph: (480) 560-5183 |
| NPI Number | 1225537111 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 02/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225537111 | NPI | - | NPPES |
| 1144355629 | Other | AZ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5904 (Arizona) | 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 | |