Green Apple Pediatric Dentistry, Pllc | |
11601 Us Hwy 290 West Suite 105 Austin TX 78737 | |
(512) 917-4550 | |
Not Available |
Full Name | Green Apple Pediatric Dentistry, Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 11601 Us Hwy 290 West, Austin, Texas |
Authorized Official Name and Position | Maria Evelina Guerrero (PEDIATRIC DENTIST/MANAGING MEMBER) |
Authorized Official Contact | 2102871535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Green Apple Pediatric Dentistry, Pllc 904 West Ave Suite 203 Austin TX 78701-2236 Ph: (210) 287-1535 | Green Apple Pediatric Dentistry, Pllc 11601 Us Hwy 290 West Suite 105 Austin TX 78737 Ph: (512) 917-4550 |
NPI Number | 1972902427 |
---|---|
Provider Enumeration Date | 08/21/2014 |
Last Update Date | 08/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972902427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 24128 (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 | |