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6012 W William Cannon Dr Ste A103 Austin TX 78749-1976 | |
(512) 288-3930 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 6012 W William Cannon Dr Ste A103, Austin, Texas |
Authorized Official Name and Position | Christine Nelson (VP, REVENUE CYCLE) |
Authorized Official Contact | 4695966137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: () - | 6012 W William Cannon Dr Ste A103 Austin TX 78749-1976 Ph: (512) 288-3930 |
NPI Number | 1043080500 |
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Provider Enumeration Date | 01/05/2024 |
Last Update Date | 04/10/2024 |
Identifier | Type | State | Issuer |
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1043080500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |