| 8118 Dental Professionals | |
|
8118 Shoal Creek Austin TX 78757 | |
| (512) 452-8262 | |
| (512) 420-8265 |
| Full Name | 8118 Dental Professionals |
|---|---|
| Speciality | Dentist |
| Location | 8118 Shoal Creek, Austin, Texas |
| Authorized Official Name and Position | Erica Elward (PARTNER/DENTIST) |
| Authorized Official Contact | 5124528262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 8118 Dental Professionals 8118 Shoal Creek Austin TX 78757 Ph: (512) 452-8262 | 8118 Dental Professionals 8118 Shoal Creek Austin TX 78757 Ph: (512) 452-8262 |
| NPI Number | 1013125558 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 05/16/2023 |
| Medicare PECOS PAC ID | 7810355880 |
|---|---|
| Medicare Enrollment ID | O20230623000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013125558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15389 (Texas) | Secondary |
| 122300000X | Dentist | 9068 (Texas) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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