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11851 Jollyville Rd Ste 201 Austin TX 78759-2350 | |
| (512) 345-8800 | |
| (512) 331-8500 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11851 Jollyville Rd Ste 201, Austin, Texas |
| Authorized Official Name and Position | Steven Leslie Booth (PRESIDENT) |
| Authorized Official Contact | 5123458800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11851 Jollyville Rd Ste 201 Austin TX 78759-2350 Ph: (512) 345-8800 | 11851 Jollyville Rd Ste 201 Austin TX 78759-2350 Ph: (512) 345-8800 |
| NPI Number | 1003929514 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 11/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003929514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18052 (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 | |