Celebraces Congress Pllc | |
111 W William Cannon Dr Ste 200 Austin TX 78745-5657 | |
(512) 521-7000 | |
Not Available |
Full Name | Celebraces Congress Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 111 W William Cannon Dr Ste 200, Austin, Texas |
Authorized Official Name and Position | Chad Hendricks (CREDENTIALING MANAGER) |
Authorized Official Contact | 6128590444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Celebraces Congress Pllc 111 W William Cannon Dr Ste 200 Austin TX 78745-5657 Ph: () - | Celebraces Congress Pllc 111 W William Cannon Dr Ste 200 Austin TX 78745-5657 Ph: (512) 521-7000 |
NPI Number | 1588245922 |
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Provider Enumeration Date | 04/17/2021 |
Last Update Date | 04/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588245922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (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 | |