| Van Dyke Dental Associates | |
|
5339 N Ih 35 Austin TX 78723-2428 | |
| (512) 744-6000 | |
| (512) 334-2321 |
| Full Name | Van Dyke Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5339 N Ih 35, Austin, Texas |
| Authorized Official Name and Position | Karen Cantu (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5125839679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Dyke Dental Associates 2621 Ridgepoint Dr Suite 130 Austin TX 78754-5232 Ph: (512) 583-9679 | Van Dyke Dental Associates 5339 N Ih 35 Austin TX 78723-2428 Ph: (512) 744-6000 |
| NPI Number | 1285949933 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 08/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285949933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23148 (Texas) | Primary |
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