|
| |
|
15004 Avery Ranch Blvd Bldg B Ste 100 Austin TX 78717 | |
| (512) 866-3800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15004 Avery Ranch Blvd Bldg B Ste 100, Austin, Texas |
| Authorized Official Name and Position | Elizabeth Lowery (OWNER) |
| Authorized Official Contact | 5128663800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15004 Avery Ranch Blvd Bldg B Ste 100 Austin TX 78717 Ph: (512) 866-3800 | 15004 Avery Ranch Blvd Bldg B Ste 100 Austin TX 78717 Ph: (512) 866-3800 |
| NPI Number | 1215694815 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 07/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215694815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (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 | |