South Austin Oral Surgery | |
706b W Ben White Blvd # 194 Austin TX 78704-7153 | |
(512) 692-7140 | |
Not Available |
Full Name | South Austin Oral Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 706b W Ben White Blvd # 194, Austin, Texas |
Authorized Official Name and Position | Nitin Uddaraju Raju (ORAL SURGEON) |
Authorized Official Contact | 5126927140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Austin Oral Surgery 706b W Ben White Blvd # 194 Austin TX 78704-7153 Ph: (512) 692-7140 | South Austin Oral Surgery 706b W Ben White Blvd # 194 Austin TX 78704-7153 Ph: (512) 692-7140 |
NPI Number | 1043927197 |
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Provider Enumeration Date | 10/28/2022 |
Last Update Date | 10/28/2022 |
Identifier | Type | State | Issuer |
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1043927197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (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 | |