| |
8300 Fm 620 N Ste 100 Austin TX 78726-4007 | |
(512) 331-0359 | |
(512) 331-0364 |
Full Name | |
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Speciality | Dentist |
Location | 8300 Fm 620 N Ste 100, Austin, Texas |
Authorized Official Name and Position | John S Barnes (OWNER) |
Authorized Official Contact | 5123310359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2860 Michelle Fl 2 Irvine CA 92606-1008 Ph: (714) 368-2077 | 8300 Fm 620 N Ste 100 Austin TX 78726-4007 Ph: (512) 331-0359 |
NPI Number | 1780921601 |
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Provider Enumeration Date | 01/11/2013 |
Last Update Date | 01/11/2013 |
Identifier | Type | State | Issuer |
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1780921601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (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 | |