| Jack Sansing Dental Clinic | |
|
711 W. 38th St. Suite E-4 Austin TX 78705 | |
| (512) 479-6633 | |
| (512) 479-6617 |
| Full Name | Jack Sansing Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 711 W. 38th St., Austin, Texas |
| Authorized Official Name and Position | Jeannie Nelson (DIRECTOR OF DENTAL SERVICES) |
| Authorized Official Contact | 5129003471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Sansing Dental Clinic Po Box 4874 Austin TX 78765 Ph: (512) 458-2437 | Jack Sansing Dental Clinic 711 W. 38th St. Suite E-4 Austin TX 78705 Ph: (512) 479-6633 |
| NPI Number | 1760500078 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 05/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760500078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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