Rising Stars Ortho Lakeline, Pllc | |
14005 Us 183 Suite 800 Austin TX 78717 | |
(512) 266-7200 | |
Not Available |
Full Name | Rising Stars Ortho Lakeline, Pllc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 14005 Us 183, Austin, Texas |
Authorized Official Name and Position | Serenthes Fields (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4076843738 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rising Stars Ortho Lakeline, Pllc 10824 E Crystal Falls Pkwy Ste 203 Leander TX 78641-4301 Ph: (512) 266-7200 | Rising Stars Ortho Lakeline, Pllc 14005 Us 183 Suite 800 Austin TX 78717 Ph: (512) 266-7200 |
NPI Number | 1639957251 |
---|---|
Provider Enumeration Date | 09/15/2023 |
Last Update Date | 09/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639957251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (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 | |