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2700 Barton Creek Blvd Ste 110 Austin TX 78735-1637 | |
| (737) 203-9006 | |
| (737) 203-9007 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2700 Barton Creek Blvd Ste 110, Austin, Texas |
| Authorized Official Name and Position | Ashly Sunshine (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6363624986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2700 Barton Creek Blvd Ste 110 Austin TX 78735-1637 Ph: (737) 203-9006 | 2700 Barton Creek Blvd Ste 110 Austin TX 78735-1637 Ph: (737) 203-9006 |
| NPI Number | 1003497009 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003497009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (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 | |