Anderson Dental Clinic | |
22106 Hwy 71 W Spicewood TX 78669-6115 | |
(512) 264-9977 | |
(512) 264-9517 |
Full Name | Anderson Dental Clinic |
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Speciality | Dentist - General Practice |
Location | 22106 Hwy 71 W, Spicewood, Texas |
Authorized Official Name and Position | Charles W Anderson (OWNER/PRESIDENT) |
Authorized Official Contact | 5122649977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anderson Dental Clinic 22106 Hwy 71 W Spicewood TX 78669-6115 Ph: (512) 264-9977 | Anderson Dental Clinic 22106 Hwy 71 W Spicewood TX 78669-6115 Ph: (512) 264-9977 |
NPI Number | 1922246537 |
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Provider Enumeration Date | 02/04/2009 |
Last Update Date | 02/04/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922246537 | NPI | - | NPPES |
007989902 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 9754 (Texas) | Primary |
Richard Donkersgoed Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Bee Creek Rd Ste 104, Spicewood, TX 78669 Phone: 512-266-6366 | |
Bee Creek Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Bee Creek Rd., Spicewood, TX 78669 Phone: 512-266-9585 |