Unknown Individual – Pediatric Dentistry, NPI 1316942113
Pediatric Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2410, East Riverside Drive, East Riverside - Oltorf, Austin, Travis County, Texas, 78741, United States
STE H12
AUSTIN, TX 787413054
Phone: (512) 442-1224
Fax: (512) 442-8588
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78741)
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