| Bridge Dental Associates, Pllc | |
|
13616 N Highway 183 Unit B Austin TX 78750-2312 | |
| (512) 600-3535 | |
| Not Available |
| Full Name | Bridge Dental Associates, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13616 N Highway 183 Unit B, Austin, Texas |
| Authorized Official Name and Position | Brian J. Peters (OWNER) |
| Authorized Official Contact | 5126003535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Dental Associates, Pllc 13616 N Highway 183 Unit B Austin TX 78750-2312 Ph: (512) 600-3535 | Bridge Dental Associates, Pllc 13616 N Highway 183 Unit B Austin TX 78750-2312 Ph: (512) 600-3535 |
| NPI Number | 1386147502 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 03/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386147502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (Texas) | Primary |
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