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1450 W Parmer Ln Austin TX 78727-4501 | |
(512) 795-0008 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1450 W Parmer Ln, Austin, Texas |
Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
Authorized Official Contact | 2147020708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1450 W Parmer Ln Austin TX 78727-4501 Ph: (512) 795-0008 | 1450 W Parmer Ln Austin TX 78727-4501 Ph: (512) 795-0008 |
NPI Number | 1275251134 |
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Provider Enumeration Date | 08/17/2022 |
Last Update Date | 12/14/2022 |
Identifier | Type | State | Issuer |
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1275251134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 | |