| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7826 W Us Hwy 290, Austin, Texas |
| Authorized Official Name and Position | Alicia Jones (HR DIRECTOR) |
| Authorized Official Contact | 2177183072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2809 Mansion Rd Ste B Springfield IL 62711-6811 Ph: () - | 7826 W Us Hwy 290 Austin TX 78736 Ph: (217) 718-3072 |
| NPI Number | 1962176008 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962176008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (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 | |