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NPI Code Detail

MEDICARE: DR. KRISTEN ALLEN OEHLER DDS

MEDICARE: DR. KRISTEN ALLEN OEHLER 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
11223D0001XPublic Health Dentistry21092TX

General Provider Information

NPI Number : 1396842647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN ALLEN OEHLER DDS
Provider Business Mailing Address
First Line : 15 WALLER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-5240
Country : US
Telephone Number : 512-978-9895
Fax Number : 512-978-9900
Provider Business Practice Location Address
First Line : 15 WALLER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-5240
Country : US
Telephone Number : 512-978-9895
Fax Number : 512-978-9900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 03/10/2017

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