| Duchess Dental Pllc | |
|
4301 W William Cannon Dr Suite B240 Austin TX 78749-1473 | |
| (512) 892-7800 | |
| (512) 892-7802 |
| Full Name | Duchess Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4301 W William Cannon Dr, Austin, Texas |
| Authorized Official Name and Position | Jack Fan (OWNER) |
| Authorized Official Contact | 3476889827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duchess Dental Pllc 4301 W William Cannon Dr Suite B240 Austin TX 78749-1473 Ph: (512) 892-7800 | Duchess Dental Pllc 4301 W William Cannon Dr Suite B240 Austin TX 78749-1473 Ph: (512) 892-7800 |
| NPI Number | 1821530635 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821530635 | NPI | - | NPPES |
| 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 | |