Central Texas Oral Surgery Assc. | |
3200 Red River #400 Austin TX 78705 | |
(512) 320-1640 | |
(512) 320-1643 |
Full Name | Central Texas Oral Surgery Assc. |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 3200 Red River, Austin, Texas |
Authorized Official Name and Position | Franklin Samuel Bonasso (ORAL SURGEON) |
Authorized Official Contact | 5123201640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Central Texas Oral Surgery Assc. 3200 Red River #400 Austin TX 78705 Ph: (512) 320-1640 | Central Texas Oral Surgery Assc. 3200 Red River #400 Austin TX 78705 Ph: (512) 320-1640 |
NPI Number | 1114018124 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114018124 | NPI | - | NPPES |
0015705 | Other | TX | ASSURANT |
D18515 | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 18515 (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 | |