| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 8118 Shoal Creek, Austin, Texas |
| Authorized Official Name and Position | Erica Elward (PARTNER/DENTIST) |
| Authorized Official Contact | 5124528262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8118 Shoal Creek Austin TX 78757 Ph: (512) 452-8262 | 8118 Shoal Creek Austin TX 78757 Ph: (512) 452-8262 |
| NPI Number | 1013125558 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013125558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15389 (Texas) | Secondary |
| 122300000X | Dentist | 9068 (Texas) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | 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 | |