| Derby Family Dental Pllc | |
|
3410 Far West Blvd Ste 340 Austin TX 78731-3272 | |
| (512) 795-0128 | |
| Not Available |
| Full Name | Derby Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3410 Far West Blvd Ste 340, Austin, Texas |
| Authorized Official Name and Position | William R Jennings (OWNER) |
| Authorized Official Contact | 9402068956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derby Family Dental Pllc 2109 Commerce St Ste 200 Dallas TX 75201-4350 Ph: (972) 248-1221 | Derby Family Dental Pllc 3410 Far West Blvd Ste 340 Austin TX 78731-3272 Ph: (512) 795-0128 |
| NPI Number | 1083490825 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083490825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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