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Jared Poplin D.m.d., Pllc
Pediatric Dentist in Austin, Texas
NPI 1003202060

Jared Poplin D.m.d., Pllc is a Pediatric Dentist based in Austin, TX and is specialized in Pediatric Dentistry. Jared Poplin D.m.d., Pllc practices in Austin, TX. The NPI Number for Jared Poplin D.m.d., Pllc is 1003202060 and holds a License No. 25418 (Texas).

The current practice location address for Jared Poplin D.m.d., Pllc is 6850 Austin Center Blvd Ste 220, Austin, TX and can be reached out via phone at 785-691-6171.

Location: 6850 Austin Center Blvd Ste 220, Austin, TX, 78731-3131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003202060
Provider Name
Jared Poplin D.m.d., Pllc
Credential
Provider Entity Type
Organization
Address
6850 Austin Center Blvd Ste 220, Austin, TX, 78731-3131
Phone Number
785-691-6171
Fax Number
Provider Enumeration Date
04/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
211924002 05 TX
211924001 05 TX
211924003 05 TX
institution
Provider Business Practice Location Address Details
Address
6850 Austin Center Blvd Ste 220
City
Austin
State
Texas
Zip
78731-3131
Phone Number
785-691-6171
Fax Number
person
Provider Business Mailing Address Details
Address
6850 Austin Center Blvd Ste 220
City
Austin
State
Texas
Zip
78731-3131
Phone Number
785-691-6171
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
25418 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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