| Texdentgroup | |
|
1802 Anderson Lane Austin TX 78757 | |
| (512) 459-4347 | |
| (512) 459-4348 |
| Full Name | Texdentgroup |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1802 Anderson Lane, Austin, Texas |
| Authorized Official Name and Position | Robert Hewitt (PRESIDENT) |
| Authorized Official Contact | 5127620378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texdentgroup 2609 Padina Dr Austin TX 78733-1666 Ph: (512) 569-5557 | Texdentgroup 1802 Anderson Lane Austin TX 78757 Ph: (512) 459-4347 |
| NPI Number | 1285915413 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285915413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17310 (Texas) | Primary |
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