| Glllv, PLLC | |
|
7030 Village Center Dr Austin TX 78731-3024 | |
| (512) 345-3166 | |
| Not Available |
| Full Name | Glllv, PLLC |
|---|---|
| Speciality | Dentist |
| Location | 7030 Village Center Dr, Austin, Texas |
| Authorized Official Name and Position | Gregg Ueckert (OWNER) |
| Authorized Official Contact | 5123453166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glllv, PLLC 7030 Village Center Dr Austin TX 78731-3024 Ph: (512) 345-3166 | Glllv, PLLC 7030 Village Center Dr Austin TX 78731-3024 Ph: (512) 345-3166 |
| NPI Number | 1629638085 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 05/12/2025 |
| Certification Date | 05/12/2025 |
| Medicare PECOS PAC ID | 5294167649 |
|---|---|
| Medicare Enrollment ID | O20191122002484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629638085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
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