| My Dentist | |
|
8015 Shoal Creek Blvd Ste 108 Austin TX 78757-8051 | |
| (512) 454-5219 | |
| Not Available |
| Full Name | My Dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8015 Shoal Creek Blvd Ste 108, Austin, Texas |
| Authorized Official Name and Position | Kevin Deutsch (PRESIDENT) |
| Authorized Official Contact | 5124528262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Dentist 8015 Shoal Creek Blvd Ste 108 Austin TX 78757-8051 Ph: () - | My Dentist 8015 Shoal Creek Blvd Ste 108 Austin TX 78757-8051 Ph: (512) 454-5219 |
| NPI Number | 1508305335 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508305335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25628 (Texas) | Primary |
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