# ALFRED D AUSTIN JR DDS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Austin & Austin Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790393551
- **Authorized official:** DR. ALFRED D AUSTIN JR. DDS (DENTIST)
- **Authorized official phone:** (989) 386-7021

## Contact information

- **Practice address:** 104 W WHEATON AVE, CLARE, MI 48617-1247
- **Practice address phone:** (989) 386-7021
- **Mailing address:** 104 W WHEATON AVE, CLARE, MI 48617-1247
- **Mailing address phone:** (989) 386-7021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2020
- **Last updated:** 07/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1568479913 | — | MI |