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NPI Code Detail

MEDICARE: DR. KEVIN THOMAS DEUTSCH DDS

MEDICARE: DR. KEVIN THOMAS DEUTSCH DDS
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
1122300000XDentist56440CA
2122300000XDentist25628TX

General Provider Information

NPI Number : 1073793246
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN THOMAS DEUTSCH DDS
Provider Business Mailing Address
First Line : 8118 SHOAL CREEK BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78757-8041
Country : US
Telephone Number : 512-452-8262
Fax Number :
Provider Business Practice Location Address
First Line : 8118 SHOAL CREEK BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78757-8041
Country : US
Telephone Number : 512-452-8262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2007
Last Update Date : 10/31/2016

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Directions to “ DR. KEVIN THOMAS DEUTSCH DDS” Practice Location

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