| Lifetime Smiles, Pllc | |
|
2100 W William Cannon Dr Suite C Austin TX 78745-4881 | |
| (512) 550-4400 | |
| (512) 284-8959 |
| Full Name | Lifetime Smiles, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2100 W William Cannon Dr, Austin, Texas |
| Authorized Official Name and Position | Shahram S Arzegar (PRESIDENT/ OWNER) |
| Authorized Official Contact | 5125504400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Smiles, Pllc 2100 W William Cannon Dr Suite C Austin TX 78745-4881 Ph: (512) 550-4400 | Lifetime Smiles, Pllc 2100 W William Cannon Dr Suite C Austin TX 78745-4881 Ph: (512) 550-4400 |
| NPI Number | 1023313616 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023313616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23982 (Texas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 22434 (Texas) | Secondary |
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 | |