| Sunny Hills Pediatric Dentistry | |
|
11149 Research Blvd Ste 270 Austin TX 78759-5227 | |
| (208) 690-0367 | |
| Not Available |
| Full Name | Sunny Hills Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11149 Research Blvd Ste 270, Austin, Texas |
| Authorized Official Name and Position | Jamie Fairchild (CEO) |
| Authorized Official Contact | 2086900367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Hills Pediatric Dentistry 10510 W Parmer Ln Ste 100 Austin TX 78717-4876 Ph: (512) 265-5900 | Sunny Hills Pediatric Dentistry 11149 Research Blvd Ste 270 Austin TX 78759-5227 Ph: (208) 690-0367 |
| NPI Number | 1710741673 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710741673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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