| Gk Dental P.a. | |
|
404 W. Powell Lane; Ste 102 Austin TX 78753 | |
| (512) 301-1505 | |
| (888) 503-5605 |
| Full Name | Gk Dental P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 404 W. Powell Lane; Ste 102, Austin, Texas |
| Authorized Official Name and Position | Laurence E. Fendrich (PRESIDENT) |
| Authorized Official Contact | 5123011505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gk Dental P.a. 404 W. Powell Lane; Ste 102 Austin TX 78753 Ph: (512) 301-1505 | Gk Dental P.a. 404 W. Powell Lane; Ste 102 Austin TX 78753 Ph: (512) 301-1505 |
| NPI Number | 1790171221 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790171221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25128 (Texas) | 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 | |