South Austin Dental Associates | |
4419 Frontier Trl Suite 104 Austin TX 78745-1686 | |
(512) 444-1133 | |
(512) 445-0552 |
Full Name | South Austin Dental Associates |
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Speciality | Dentist |
Location | 4419 Frontier Trl, Austin, Texas |
Authorized Official Name and Position | Michael L. Butcher (DR.) |
Authorized Official Contact | 5124441133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Austin Dental Associates 4419 Frontier Trl Suite 104 Austin TX 78745-1686 Ph: (512) 444-1133 | South Austin Dental Associates 4419 Frontier Trl Suite 104 Austin TX 78745-1686 Ph: (512) 444-1133 |
NPI Number | 1558547182 |
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Provider Enumeration Date | 01/14/2008 |
Last Update Date | 01/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558547182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 11987 (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 | |