| Jeannie Orthodontics Pa | |
|
9411 N Lamar Blvd Austin TX 78753-4178 | |
| (512) 744-6000 | |
| (512) 892-7205 |
| Full Name | Jeannie Orthodontics Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9411 N Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | Karen Cantu (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5127446000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannie Orthodontics Pa 2621 Ridgepoint Dr Suite 130 Austin TX 78754-5232 Ph: (512) 744-6000 | Jeannie Orthodontics Pa 9411 N Lamar Blvd Austin TX 78753-4178 Ph: (512) 744-6000 |
| NPI Number | 1093028490 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093028490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (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 | |