Organization
JARED POPLIN D.M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED POPLIN D.M.D. (DR)
(785) 691-6171
Entity
Organization
Contact information
Practice address
6850 AUSTIN CENTER BLVD STE 220, AUSTIN, TX 78731-3131
(785) 691-6171
Mailing address
6850 AUSTIN CENTER BLVD STE 220, AUSTIN, TX 78731-3131
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
25418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211924001
—
TX
05
—
211924002
—
TX
05
—
211924003
—
TX
Enumeration date
04/07/2015
Last updated
04/07/2015
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