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12505 Hymeadow Dr Ste 2e Austin TX 78750-1866 | |
(512) 636-8120 | |
(512) 338-8192 |
Full Name | |
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Speciality | Dentist |
Location | 12505 Hymeadow Dr Ste 2e, Austin, Texas |
Authorized Official Name and Position | Michael Reed (OWNER) |
Authorized Official Contact | 2144761706 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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12505 Hymeadow Dr Ste 2e Austin TX 78750-1866 Ph: (512) 636-8120 | 12505 Hymeadow Dr Ste 2e Austin TX 78750-1866 Ph: (512) 636-8120 |
NPI Number | 1891468112 |
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Provider Enumeration Date | 08/02/2021 |
Last Update Date | 09/25/2023 |
Medicare PECOS PAC ID | 1052790524 |
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Medicare Enrollment ID | O20230125002522 |
Identifier | Type | State | Issuer |
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1891468112 | NPI | - | NPPES |
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 | |