Texas Periodontists Pc | |
12319 N Mopac Expy Ste 160 Austin TX 78758-2648 | |
(512) 222-5721 | |
(512) 309-5273 |
Full Name | Texas Periodontists Pc |
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Speciality | Dentist - Periodontics |
Location | 12319 N Mopac Expy Ste 160, Austin, Texas |
Authorized Official Name and Position | Melissa Dixon (MANAGER) |
Authorized Official Contact | 5122225721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Texas Periodontists Pc 12319 N Mopac Expy Ste 160 Austin TX 78758-2648 Ph: (512) 222-5721 | Texas Periodontists Pc 12319 N Mopac Expy Ste 160 Austin TX 78758-2648 Ph: (512) 222-5721 |
NPI Number | 1467132159 |
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Provider Enumeration Date | 07/19/2023 |
Last Update Date | 08/01/2023 |
Identifier | Type | State | Issuer |
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1467132159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (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 | |