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5555 N Lamar Blvd Ste H125 Austin TX 78751 | |
| (512) 861-1337 | |
| (866) 815-3719 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5555 N Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | Benjamin Tiggelaar (AUTHORIZED AGENT) |
| Authorized Official Contact | 5129804648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5555 N Lamar Blvd Ste H125 Austin TX 78751 Ph: (866) 988-4504 | 5555 N Lamar Blvd Ste H125 Austin TX 78751 Ph: (512) 861-1337 |
| NPI Number | 1306077458 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306077458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (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 | |