| J. Steven Widner, Dds, Pc | |
|
1500 W 38th St Suite 51 Austin TX 78731-6321 | |
| (512) 452-3223 | |
| Not Available |
| Full Name | J. Steven Widner, Dds, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1500 W 38th St, Austin, Texas |
| Authorized Official Name and Position | James Steven Widner (PRESIDENT) |
| Authorized Official Contact | 5124523223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Steven Widner, Dds, Pc 1500 W 38th St Suite 51 Austin TX 78731-6321 Ph: (512) 452-3223 | J. Steven Widner, Dds, Pc 1500 W 38th St Suite 51 Austin TX 78731-6321 Ph: (512) 452-3223 |
| NPI Number | 1013178268 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 09/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013178268 | NPI | - | NPPES |
| 000653489 | Other | TX | UNITED CONCORDIA |
| 00G36G | Other | TX | BLUE CROSS AND BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 15113 (Texas) | Primary |
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