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5900 W Slaughter Ln Ste 470 Austin TX 78749-6513 | |
| (512) 206-2929 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5900 W Slaughter Ln Ste 470, Austin, Texas |
| Authorized Official Name and Position | Marty Montgomery (OWNER) |
| Authorized Official Contact | 5122062975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
505 E Huntland Dr Ste 340 Austin TX 78752-3745 Ph: () - | 5900 W Slaughter Ln Ste 470 Austin TX 78749-6513 Ph: (512) 206-2929 |
| NPI Number | 1104364710 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 02/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104364710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | 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 | |