| Advanced Dental Associates | |
|
2202 S 77 Sunshine Strip Ste B Harlingen TX 78550 | |
| (956) 425-7474 | |
| (956) 425-3555 |
| Full Name | Advanced Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2202 S 77 Sunshine Strip, Harlingen, Texas |
| Authorized Official Name and Position | Michael W Fuqua (OWNER) |
| Authorized Official Contact | 9564257474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Associates 2202 S 77 Sunshine Strip Ste B Harlingen TX 78550 Ph: (956) 425-7474 | Advanced Dental Associates 2202 S 77 Sunshine Strip Ste B Harlingen TX 78550 Ph: (956) 425-7474 |
| NPI Number | 1669552758 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669552758 | NPI | - | NPPES |
| 120848003 | Medicaid | TX | |
| 1626501 | Other | TX | TEXAS CHYOS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16265 (Texas) | Primary |
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