| Ascent Dental Llc | |
|
1674 Keller Pkwy Ste 180 Keller TX 76248-3756 | |
| (785) 764-4535 | |
| Not Available |
| Full Name | Ascent Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1674 Keller Pkwy Ste 180, Keller, Texas |
| Authorized Official Name and Position | Steven Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5022449859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascent Dental Llc 1674 Keller Pkwy Ste 180 Keller TX 76248-3756 Ph: (785) 764-4535 | Ascent Dental Llc 1674 Keller Pkwy Ste 180 Keller TX 76248-3756 Ph: (785) 764-4535 |
| NPI Number | 1891338158 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 10/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891338158 | NPI | - | NPPES |
| 34027 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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