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1015 West 34th St. Austin TX 78705 | |
| (512) 206-2929 | |
| (512) 206-2920 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1015 West 34th St., 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. #340 Austin TX 78752 Ph: (512) 206-2975 | 1015 West 34th St. Austin TX 78705 Ph: (512) 206-2929 |
| NPI Number | 1437437639 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437437639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 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 | |