| 1661 W 2nd Corsicana Professional, Pllc | |
|
1661 W 2nd Ave Corsicana TX 75110-4107 | |
| (903) 872-1661 | |
| Not Available |
| Full Name | 1661 W 2nd Corsicana Professional, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1661 W 2nd Ave, Corsicana, Texas |
| Authorized Official Name and Position | Peter Grumbos (OWNER) |
| Authorized Official Contact | 2142597000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1661 W 2nd Corsicana Professional, Pllc 1661 W 2nd Ave Corsicana TX 75110-4107 Ph: (903) 872-1661 | 1661 W 2nd Corsicana Professional, Pllc 1661 W 2nd Ave Corsicana TX 75110-4107 Ph: (903) 872-1661 |
| NPI Number | 1225673098 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225673098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Network Provider Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 W State Highway 22, Corsicana, TX 75110 Phone: 903-872-2448 | |
Corsicana Childrens Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 W 7th Ave, Suite D, Corsicana, TX 75110 Phone: 903-847-5437 Fax: 972-499-1040 | |
1661 W 2nd Corsicana Services, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 W 2nd Ave, Corsicana, TX 75110 Phone: 903-872-1661 | |
Restore Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 W State Highway 22, Corsicana, TX 75110 Phone: 903-257-8815 Fax: 903-900-4184 | |
Navarro Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 W 2nd Ave, Corsicana, TX 75110 Phone: 214-293-1097 Fax: 903-872-5961 | |
Justin Wright, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 W 2nd Ave, Corsicana, TX 75110 Phone: 903-872-8422 Fax: 903-872-4669 |