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NPI Code Detail

MEDICARE: AUSTIN JOHN BOLANO DMD

MEDICARE: AUSTIN JOHN BOLANO DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry40386TX

General Provider Information

NPI Number : 1053000281
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN JOHN BOLANO DMD
Provider Business Mailing Address
First Line : 7 GILDED POND PL
Second Line :
City : SPRING
State : TX
Zip : 77381-6456
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7 GILDED POND PL
Second Line :
City : SPRING
State : TX
Zip : 77381-6456
Country : US
Telephone Number : 281-536-3120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2023
Last Update Date : 11/25/2025

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Directions to “ AUSTIN JOHN BOLANO DMD” Practice Location

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