| 1-800-go-dentist | |
|
6262 Weber Rd Suite 120 Corpus Christi TX 78413-4006 | |
| (361) 851-2828 | |
| (361) 851-2830 |
| Full Name | 1-800-go-dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6262 Weber Rd, Corpus Christi, Texas |
| Authorized Official Name and Position | Bradley K Bartelli (PRESIDENT) |
| Authorized Official Contact | 3618512828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1-800-go-dentist 6262 Weber Rd Suite 120 Corpus Christi TX 78413-4006 Ph: (361) 851-2828 | 1-800-go-dentist 6262 Weber Rd Suite 120 Corpus Christi TX 78413-4006 Ph: (361) 851-2828 |
| NPI Number | 1043458821 |
|---|---|
| Provider Enumeration Date | 02/01/2009 |
| Last Update Date | 02/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043458821 | NPI | - | NPPES |
| 186353202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22773 (Texas) | Primary |
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