| Rising Stars Pediatric Dentistry, Pllc | |
|
4308 N Quinlan Park Ste 201 Austin TX 78732 | |
| (512) 266-7200 | |
| (512) 266-6197 |
| Full Name | Rising Stars Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4308 N Quinlan Park, Austin, Texas |
| Authorized Official Name and Position | Michelle L Freeze (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5122667200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Stars Pediatric Dentistry, Pllc 4308 N Quinlan Park Ste 201 Austin TX 78732 Ph: (512) 266-7200 | Rising Stars Pediatric Dentistry, Pllc 4308 N Quinlan Park Ste 201 Austin TX 78732 Ph: (512) 266-7200 |
| NPI Number | 1730282633 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730282633 | NPI | - | NPPES |
| 1620639 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 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 | |