| Everitt Dental | |
|
7112 Ed Bluestein Blvd Austin TX 78723-2900 | |
| (512) 744-6011 | |
| Not Available |
| Full Name | Everitt Dental |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7112 Ed Bluestein Blvd, Austin, Texas |
| Authorized Official Name and Position | Barry D. Levinson (BUSINESS DIRECTOR) |
| Authorized Official Contact | 5122892280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everitt Dental 7112 Ed Bluestein Blvd Austin TX 78723-2900 Ph: (512) 744-6011 | Everitt Dental 7112 Ed Bluestein Blvd Austin TX 78723-2900 Ph: (512) 744-6011 |
| NPI Number | 1316130966 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316130966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Texas) | Primary |
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