| Jeannie Orthodontics Pa | |
|
5339 N Ih 35 Suite 100 Austin TX 78723-2428 | |
| (512) 744-6000 | |
| (512) 892-7205 |
| Full Name | Jeannie Orthodontics Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5339 N Ih 35, 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 5339 N Ih 35 Suite 100 Austin TX 78723-2428 Ph: (512) 744-6000 |
| NPI Number | 1376856765 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376856765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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