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711 W 38th St Austin TX 78705-1121 | |
| (512) 453-1600 | |
| (512) 453-1503 |
| Full Name | |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 711 W 38th St, Austin, Texas |
| Authorized Official Name and Position | Alicia Powell (OFFICE MANAGER) |
| Authorized Official Contact | 5124531600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
711 W 38th St Austin TX 78705-1121 Ph: (512) 453-1600 | 711 W 38th St Austin TX 78705-1121 Ph: (512) 453-1600 |
| NPI Number | 1770838146 |
|---|---|
| Provider Enumeration Date | 07/20/2012 |
| Last Update Date | 07/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770838146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22581 (Texas) | Secondary |
| 1223P0300X | Dentist - Periodontics | 20329 (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 | |