| Jared Poplin D.m.d., Pllc | |
|
6850 Austin Center Blvd Ste 220 Austin TX 78731-3131 | |
| (785) 691-6171 | |
| Not Available |
| Full Name | Jared Poplin D.m.d., Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6850 Austin Center Blvd Ste 220, Austin, Texas |
| Authorized Official Name and Position | Jared Poplin (DR) |
| Authorized Official Contact | 7856916171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Poplin D.m.d., Pllc 6850 Austin Center Blvd Ste 220 Austin TX 78731-3131 Ph: () - | Jared Poplin D.m.d., Pllc 6850 Austin Center Blvd Ste 220 Austin TX 78731-3131 Ph: (785) 691-6171 |
| NPI Number | 1003202060 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 04/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003202060 | NPI | - | NPPES |
| 211924002 | Medicaid | TX | |
| 211924001 | Medicaid | TX | |
| 211924003 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 25418 (Texas) | Primary |
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