Provider Demographics
NPI:1861845778
Name:AUSTIN, JANAI
Entity Type:Individual
Prefix:
First Name:JANAI
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 422 BOX 922
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09067-0010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LANDSTUHL DENTAL ACTIVITY
Practice Address - Street 2:
Practice Address - City:LANDSTUHL
Practice Address - State:KERCHBERG
Practice Address - Zip Code:09180
Practice Address - Country:DE
Practice Address - Phone:0637-192-9130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant