| An Elegante Staples Dental Care, Pllc | |
|
4117 S. Staples Blvd Suite 300 Corpus Christi TX 78411 | |
| (361) 850-8000 | |
| (361) 850-8001 |
| Full Name | An Elegante Staples Dental Care, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4117 S. Staples Blvd, Corpus Christi, Texas |
| Authorized Official Name and Position | Tuan A Dao (OFFICER) |
| Authorized Official Contact | 6098162083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| An Elegante Staples Dental Care, Pllc 4117 S. Staples Blvd Suite 300 Corpus Christi TX 78411 Ph: (361) 850-8000 | An Elegante Staples Dental Care, Pllc 4117 S. Staples Blvd Suite 300 Corpus Christi TX 78411 Ph: (361) 850-8000 |
| NPI Number | 1114369238 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 04/28/2017 |
| Medicare PECOS PAC ID | 9739458407 |
|---|---|
| Medicare Enrollment ID | O20170712001304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114369238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 31716 (Texas) | Primary |
| Provider Name | Tuan Dao |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801009568 PECOS PAC ID: 4183911902 Enrollment ID: I20170726003816 |
Sunrise Mall F.d.c., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5858 S Padre Island Dr, Ste 54a, Corpus Christi, TX 78412 Phone: 361-994-4867 Fax: 361-994-1655 | |
Thomas M Pham Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Oak Park Ave, Corpus Christi, TX 78408 Phone: 361-883-3993 | |
Acgdds Holdings Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5756 S Staples St Ste B, Corpus Christi, TX 78413 Phone: 361-994-5414 Fax: 361-994-0022 | |
1-800-go-dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6262 Weber Rd, Suite 120, Corpus Christi, TX 78413 Phone: 361-851-2828 Fax: 361-851-2830 | |
Don H. Lowrance, Ms, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4707 Everhart Rd Ste 101, Corpus Christi, TX 78411 Phone: 361-851-8274 Fax: 361-806-2965 | |
O2 Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9929 S Padre Island Dr, Suite 119, Corpus Christi, TX 78418 Phone: 361-749-1992 | |
Jolleytime Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5756 S Staples St Ste A3, Corpus Christi, TX 78413 Phone: 361-993-2333 Fax: 361-993-3200 |