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7517 Cameron Rd Suite 107 Austin TX 78752-2057 | |
(512) 371-1222 | |
(512) 371-3914 |
Full Name | |
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Speciality | Dentist |
Location | 7517 Cameron Rd, Austin, Texas |
Authorized Official Name and Position | Paul Bates (PRESIDENT) |
Authorized Official Contact | 5123711222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 505073 Saint Louis MO 63150-5073 Ph: (512) 371-1222 | 7517 Cameron Rd Suite 107 Austin TX 78752-2057 Ph: (512) 371-1222 |
NPI Number | 1346388360 |
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Provider Enumeration Date | 02/02/2007 |
Last Update Date | 06/11/2021 |
Identifier | Type | State | Issuer |
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1346388360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |