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3410 Far West Blvd Suite 310 Austin TX 78731-3194 | |
| (512) 810-1378 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3410 Far West Blvd, Austin, Texas |
| Authorized Official Name and Position | Brad C Singleton (OWNER) |
| Authorized Official Contact | 5128101378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3410 Far West Blvd Suite 310 Austin TX 78731-3194 Ph: (512) 810-1378 | 3410 Far West Blvd Suite 310 Austin TX 78731-3194 Ph: (512) 810-1378 |
| NPI Number | 1891014239 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 05/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891014239 | NPI | - | NPPES |
| 174254602 | Medicaid | TX | |
| 170979201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21128 (Texas) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |