Provider Demographics
NPI:1124533625
Name:JULI POWELL DDS AND ADA TILLER DDS PC
Entity type:Organization
Organization Name:JULI POWELL DDS AND ADA TILLER DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABBATINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-218-1130
Mailing Address - Street 1:13915 N MOPAC EXPY STE 110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-6506
Mailing Address - Country:US
Mailing Address - Phone:512-218-1130
Mailing Address - Fax:512-218-4423
Practice Address - Street 1:13915 N MOPAC EXPY STE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-6506
Practice Address - Country:US
Practice Address - Phone:512-218-1130
Practice Address - Fax:512-218-4423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty