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9500 S Interstate 35 Ste E400 Austin TX 78748-1990 | |
(512) 282-7200 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 9500 S Interstate 35 Ste E400, Austin, Texas |
Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 734753 Dallas TX 75373-4753 Ph: (972) 869-3789 | 9500 S Interstate 35 Ste E400 Austin TX 78748-1990 Ph: (512) 282-7200 |
NPI Number | 1548724479 |
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Provider Enumeration Date | 01/24/2019 |
Last Update Date | 04/26/2023 |
Identifier | Type | State | Issuer |
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1548724479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (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 | |