| Full Arch Austin LLC | |
|
1221 W Ben White Blvd Ste 212a Austin TX 78704-7002 | |
| (512) 444-1133 | |
| Not Available |
| Full Name | Full Arch Austin LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1221 W Ben White Blvd Ste 212a, Austin, Texas |
| Authorized Official Name and Position | Evan Matthysse (OWNER) |
| Authorized Official Contact | 9178170803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Arch Austin LLC 1221 W Ben White Blvd Ste 212a Austin TX 78704-7002 Ph: (512) 444-1133 | Full Arch Austin LLC 1221 W Ben White Blvd Ste 212a Austin TX 78704-7002 Ph: (512) 444-1133 |
| NPI Number | 1598613093 |
|---|---|
| Provider Enumeration Date | 03/19/2026 |
| Last Update Date | 03/19/2026 |
| Certification Date | 03/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598613093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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