|
| |
|
1335 E. Whitestone Blvd. Bldg D. , Suite 145 Cedar Park TX 78613 | |
| (737) 243-1927 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1335 E. Whitestone Blvd., Cedar Park, Texas |
| Authorized Official Name and Position | Nukala Reddy (MANAGING DENTIST) |
| Authorized Official Contact | 7372431927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1335 E. Whitestone Blvd. Bldg D. , Suite 145 Cedar Park TX 78613 Ph: (737) 243-1927 | 1335 E. Whitestone Blvd. Bldg D. , Suite 145 Cedar Park TX 78613 Ph: (737) 243-1927 |
| NPI Number | 1407607294 |
|---|---|
| Provider Enumeration Date | 03/29/2024 |
| Last Update Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407607294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lakeline Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 N Lakeline Blvd, Suite Number 300, Cedar Park, TX 78613 Phone: 512-937-3371 | |
Smile In Style Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2515 S Lakeline Blvd, Cedar Park, TX 78613 Phone: 512-666-9192 | |
Lakeline Mall Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11200 Lakeline Mall Dr, Suite B01, Cedar Park, TX 78613 Phone: 214-390-9948 | |
Dentistry For The Elderly, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Cripple Creek Rd, Cedar Park, TX 78613 Phone: 143-436-1452 Fax: 888-316-6432 |