| Lone Star Pediatric Dental | |
|
14058 Bee Caves Pkwy Bldg. D. Suite B Austin TX 78738 | |
| (512) 402-9996 | |
| (512) 402-9986 |
| Full Name | Lone Star Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14058 Bee Caves Pkwy, Austin, Texas |
| Authorized Official Name and Position | Marty Montgomery (OWNER) |
| Authorized Official Contact | 5122062975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Pediatric Dental 505 E Huntland Dr. #340 Austin TX 78752 Ph: (512) 206-2975 | Lone Star Pediatric Dental 14058 Bee Caves Pkwy Bldg. D. Suite B Austin TX 78738 Ph: (512) 402-9996 |
| NPI Number | 1346539996 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346539996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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