Evan Pedersen Dmd, Pllc | |
18101 W State Highway 71 Ste 100 Austin TX 78738-0017 | |
(512) 777-0866 | |
Not Available |
Full Name | Evan Pedersen Dmd, Pllc |
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Speciality | Clinic/center - Dental |
Location | 18101 W State Highway 71 Ste 100, Austin, Texas |
Authorized Official Name and Position | Evan Pedersen (OWNER) |
Authorized Official Contact | 8159758758 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evan Pedersen Dmd, Pllc 6726 Lancret Hill Dr # B Austin TX 78745-4717 Ph: () - | Evan Pedersen Dmd, Pllc 18101 W State Highway 71 Ste 100 Austin TX 78738-0017 Ph: (512) 777-0866 |
NPI Number | 1962110817 |
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Provider Enumeration Date | 11/09/2022 |
Last Update Date | 11/09/2022 |
Identifier | Type | State | Issuer |
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1962110817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |