Rising Stars Pd Lakeline, Pllc | |
14005 N Hwy 183 Ste 800 Austin TX 78717-5960 | |
(512) 266-7200 | |
Not Available |
Full Name | Rising Stars Pd Lakeline, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 14005 N Hwy 183 Ste 800, 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 |
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Rising Stars Pd Lakeline, Pllc 14005 N Hwy 183 Ste 800 Austin TX 78717-5960 Ph: (512) 266-7200 | Rising Stars Pd Lakeline, Pllc 14005 N Hwy 183 Ste 800 Austin TX 78717-5960 Ph: (512) 266-7200 |
NPI Number | 1912780461 |
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Provider Enumeration Date | 08/17/2023 |
Last Update Date | 08/17/2023 |
Identifier | Type | State | Issuer |
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1912780461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (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 | |