|
| |
|
900 E 30th St #306 Austin TX 78705-3326 | |
| (512) 472-2246 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 900 E 30th St, Austin, Texas |
| Authorized Official Name and Position | Catherine Wootton (OFFICE MANAGER) |
| Authorized Official Contact | 5124722246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
900 E 30th St #306 Austin TX 78705-3326 Ph: (512) 472-2246 | 900 E 30th St #306 Austin TX 78705-3326 Ph: (512) 472-2246 |
| NPI Number | 1639497555 |
|---|---|
| Provider Enumeration Date | 05/17/2010 |
| Last Update Date | 05/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639497555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12773 (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 | |