| Michael B. Doughty | |
|
901 S. Mopac Expy. Building 5 Suite 220 Austin TX 78746 | |
| (512) 327-0461 | |
| (512) 327-0916 |
| Full Name | Michael B. Doughty |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 901 S. Mopac Expy. Building 5, Austin, Texas |
| Authorized Official Name and Position | Joy Westfall (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 5123270461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B. Doughty 901 S. Mopac Expy. Building 5 Suite 220 Austin TX 78746 Ph: (512) 327-0461 | Michael B. Doughty 901 S. Mopac Expy. Building 5 Suite 220 Austin TX 78746 Ph: (512) 327-0461 |
| NPI Number | 1811990138 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 10/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811990138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 17705 (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 | |