|
| |
|
1110 W William Cannon Dr Suite 401 Austin TX 78745-5468 | |
| (512) 445-5012 | |
| (512) 445-5721 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1110 W William Cannon Dr, Austin, Texas |
| Authorized Official Name and Position | Marc A Amsili (OWNER) |
| Authorized Official Contact | 5122505012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1110 W William Cannon Dr Suite 401 Austin TX 78745-5468 Ph: (512) 445-5012 | 1110 W William Cannon Dr Suite 401 Austin TX 78745-5468 Ph: (512) 445-5012 |
| NPI Number | 1073611273 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073611273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16471 (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 | |