| Dental Vip, Pllc | |
|
404 W Powell Ln Ste 102 Austin TX 78753-6256 | |
| (561) 715-1010 | |
| Not Available |
| Full Name | Dental Vip, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 404 W Powell Ln Ste 102, Austin, Texas |
| Authorized Official Name and Position | Laurence E Fendrich (MEMBER) |
| Authorized Official Contact | 5617151010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Vip, Pllc 3262 Westheimer Rd # 833 Houston TX 77098-1002 Ph: (561) 715-1010 | Dental Vip, Pllc 404 W Powell Ln Ste 102 Austin TX 78753-6256 Ph: (561) 715-1010 |
| NPI Number | 1346726247 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346726247 | NPI | - | NPPES |
| 34315 | Other | TX | TX DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (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 | |