| Texas Periodontists Pc | |
|
12319 N Mopac Expy Ste 160 Austin TX 78758-2648 | |
| (512) 222-5721 | |
| (512) 309-5273 |
| Full Name | Texas Periodontists Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467132159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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