| Airline Drive Family Dental, Pllc | |
|
7413 Airline Dr Ste 200 Houston TX 77076-1038 | |
| (940) 220-7833 | |
| Not Available |
| Full Name | Airline Drive Family Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7413 Airline Dr Ste 200, Houston, Texas |
| Authorized Official Name and Position | Everett Chad Evans (OWNER/DENTIST) |
| Authorized Official Contact | 9402207833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Airline Drive Family Dental, Pllc 5800 N I 35 Ste 205 Denton TX 76207-1438 Ph: (940) 220-7833 | Airline Drive Family Dental, Pllc 7413 Airline Dr Ste 200 Houston TX 77076-1038 Ph: (940) 220-7833 |
| NPI Number | 1427718857 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427718857 | NPI | - | NPPES |
| 433415301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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