| King Smiles Iv, Pa | |
|
2407 S Congress Ave 100 Austin TX 78704-5505 | |
| (512) 832-6225 | |
| (512) 832-8448 |
| Full Name | King Smiles Iv, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2407 S Congress Ave, Austin, Texas |
| Authorized Official Name and Position | Julian Foncell Powers (INSURANCE COORDINATOR) |
| Authorized Official Contact | 5128326225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Smiles Iv, Pa 2407 S Congress Ave 100 Austin TX 78704-5505 Ph: (512) 832-6225 | King Smiles Iv, Pa 2407 S Congress Ave 100 Austin TX 78704-5505 Ph: (512) 832-6225 |
| NPI Number | 1578717039 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578717039 | 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 | |