| Parkside Endodontics, Pc | |
|
10001 S Ih 35 Suite 350 Austin TX 78747-1701 | |
| (512) 280-1216 | |
| (512) 280-1217 |
| Full Name | Parkside Endodontics, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10001 S Ih 35, Austin, Texas |
| Authorized Official Name and Position | Jackson Booth (OWNER) |
| Authorized Official Contact | 5128206927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Endodontics, Pc 10001 S Ih 35 Suite 350 Austin TX 78747-1701 Ph: (512) 280-1216 | Parkside Endodontics, Pc 10001 S Ih 35 Suite 350 Austin TX 78747-1701 Ph: (512) 280-1216 |
| NPI Number | 1841671047 |
|---|---|
| Provider Enumeration Date | 06/12/2015 |
| Last Update Date | 06/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841671047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23496 (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 | |