| Lone Star Pediatric Dental And Braces | |
|
4201 Marathon Blvd 302 Austin TX 78756-3436 | |
| (512) 206-2929 | |
| Not Available |
| Full Name | Lone Star Pediatric Dental And Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4201 Marathon Blvd, Austin, Texas |
| Authorized Official Name and Position | Marty Montgomery (OWNER) |
| Authorized Official Contact | 5124208889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Pediatric Dental And Braces 4201 Marathon Blvd 302 Austin TX 78756-3436 Ph: (512) 206-2929 | Lone Star Pediatric Dental And Braces 4201 Marathon Blvd 302 Austin TX 78756-3436 Ph: (512) 206-2929 |
| NPI Number | 1124464813 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 12/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124464813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24217 (Texas) | 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 | |