| Enable Dental Of Illinois Pllc | |
|
5555 N Lamar Blvd Ste H125 Austin TX 78751-1096 | |
| (866) 988-4504 | |
| (866) 815-3719 |
| Full Name | Enable Dental Of Illinois Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5555 N Lamar Blvd Ste H125, Austin, Texas |
| Authorized Official Name and Position | Amy Duncan (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 7377872049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enable Dental Of Illinois Pllc 5555 N Lamar Blvd Ste H125 Austin TX 78751-1096 Ph: (866) 988-4504 | Enable Dental Of Illinois Pllc 5555 N Lamar Blvd Ste H125 Austin TX 78751-1096 Ph: (866) 988-4504 |
| NPI Number | 1740024066 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740024066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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