| Van Dyke Dental Associates | |
|
7112 Ed Bluestein Blvd Suite 100 Austin TX 78723-2900 | |
| (512) 744-6000 | |
| Not Available |
| Full Name | Van Dyke Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7112 Ed Bluestein Blvd, Austin, Texas |
| Authorized Official Name and Position | Barry D. Levinson (CEO) |
| Authorized Official Contact | 5122660189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Dyke Dental Associates 15004 Pheasant Ln Lakeway TX 78734-4718 Ph: (512) 266-0189 | Van Dyke Dental Associates 7112 Ed Bluestein Blvd Suite 100 Austin TX 78723-2900 Ph: (512) 744-6000 |
| NPI Number | 1144400870 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144400870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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