Senior Smiles Pa | |
2550 S Ih 35 Suite 215 Austin TX 78704-5722 | |
(512) 381-5572 | |
(888) 503-5605 |
Full Name | Senior Smiles Pa |
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Speciality | Dentist |
Location | 2550 S Ih 35, Austin, Texas |
Authorized Official Name and Position | Gregory Kon (PRESIDENT & OWNER) |
Authorized Official Contact | 5123815572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Senior Smiles Pa Po Box 41266 Austin TX 78704-0022 Ph: (512) 381-5572 | Senior Smiles Pa 2550 S Ih 35 Suite 215 Austin TX 78704-5722 Ph: (512) 381-5572 |
NPI Number | 1538559422 |
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Provider Enumeration Date | 01/29/2015 |
Last Update Date | 01/29/2015 |
Identifier | Type | State | Issuer |
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1538559422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 25128 (Texas) | 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 | |