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1030 Norwood Park Blvd Ste 324 Austin TX 78753-6609 | |
| (512) 497-3800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1030 Norwood Park Blvd Ste 324, Austin, Texas |
| Authorized Official Name and Position | Joseph Booth (DENTAL/OWNER) |
| Authorized Official Contact | 5124913800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1030 Norwood Park Blvd Ste 324 Austin TX 78753-6609 Ph: (512) 491-3800 | 1030 Norwood Park Blvd Ste 324 Austin TX 78753-6609 Ph: (512) 497-3800 |
| NPI Number | 1306106646 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306106646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24222 (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 | |