Kids Tooth Team South Austin Pllc | |
1217 W Slaughter Ln Ste 140 Austin TX 78748-6916 | |
(512) 523-4774 | |
(512) 355-7030 |
Full Name | Kids Tooth Team South Austin Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1217 W Slaughter Ln Ste 140, Austin, Texas |
Authorized Official Name and Position | Alexandra Barton Otto (DIRECTOR) |
Authorized Official Contact | 2392930387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Tooth Team South Austin Pllc 1245 Main St Ste 300 Buda TX 78610-2269 Ph: (512) 523-4774 | Kids Tooth Team South Austin Pllc 1217 W Slaughter Ln Ste 140 Austin TX 78748-6916 Ph: (512) 523-4774 |
NPI Number | 1972171932 |
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Provider Enumeration Date | 06/16/2021 |
Last Update Date | 06/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972171932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (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 | |