Full Name | |
---|---|
Speciality | Dentist |
Location | 7011 Hart Ln, Austin, Texas |
Authorized Official Name and Position | Ashly Sunshine (SUPPORT SPECIALIST) |
Authorized Official Contact | 3144132803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
7011 Hart Ln Austin TX 78731-3018 Ph: (512) 345-2655 | 7011 Hart Ln Austin TX 78731-3018 Ph: (512) 345-2655 |
NPI Number | 1891253407 |
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Provider Enumeration Date | 03/04/2019 |
Last Update Date | 03/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891253407 | 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 | |