|
| |
|
7030 Village Center Dr Austin TX 78731-3024 | |
| (512) 345-3166 | |
| (512) 345-0162 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7030 Village Center Dr, Austin, Texas |
| Authorized Official Name and Position | Gregg E Ueckert (OWNER) |
| Authorized Official Contact | 5123453166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7030 Village Center Dr Austin TX 78731-3024 Ph: (512) 345-3166 | 7030 Village Center Dr Austin TX 78731-3024 Ph: (512) 345-3166 |
| NPI Number | 1164865325 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 04/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164865325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17663 (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 | |