Austin Modern Dentistry, PC

NPI #1174829162 in Austin, Texas

Provider Information

NPI Number
1174829162
Entity Type
Organization
Organization Name
Austin Modern Dentistry, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 8, 2011
Last Updated
Feb 8, 2011

Practice Location

Address
3601 W WILLIAM CANNON DR BLDG 4
City
Austin
State
Texas
ZIP Code
78749-1533
Phone
(512) 892-0817

Authorized Official

Name
DR. JOHN S BARNES, DDS
Title
CONTRACTS ADMIN
Phone
(512) 892-0817

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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