Lone Star Pediatric Dental, Pllc | |
2700 S 1st St Austin TX 78704-5421 | |
(512) 442-4338 | |
(512) 442-6074 |
Full Name | Lone Star Pediatric Dental, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2700 S 1st St, Austin, Texas |
Authorized Official Name and Position | Marty R Montgomery (OWNER) |
Authorized Official Contact | 5124424338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lone Star Pediatric Dental, Pllc 2700 S 1st St Austin TX 78704-5421 Ph: (512) 442-4338 | Lone Star Pediatric Dental, Pllc 2700 S 1st St Austin TX 78704-5421 Ph: (512) 442-4338 |
NPI Number | 1376854364 |
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Provider Enumeration Date | 06/24/2010 |
Last Update Date | 06/24/2010 |
Identifier | Type | State | Issuer |
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1376854364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |