Barry G Acker Dds Pa | |
3100 New Copeland Rd Tyler TX 75701-7940 | |
(903) 597-2848 | |
(903) 593-9626 |
Full Name | Barry G Acker Dds Pa |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 3100 New Copeland Rd, Tyler, Texas |
Authorized Official Name and Position | Barry G Acker (PRESIDENT/OWNER) |
Authorized Official Contact | 9035972848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Barry G Acker Dds Pa 3100 New Copeland Rd Tyler TX 75701-7940 Ph: (903) 597-2848 | Barry G Acker Dds Pa 3100 New Copeland Rd Tyler TX 75701-7940 Ph: (903) 597-2848 |
NPI Number | 1124393434 |
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Provider Enumeration Date | 03/20/2012 |
Last Update Date | 03/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124393434 | NPI | - | NPPES |
4521923 | Other | TX | AETNA |
120698902 | Medicaid | TX | |
120698906 | Medicaid | TX | |
844377 | Other | TX | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8636 (Texas) | Primary |
Kim Fretty Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6989 Highlands Ln, Tyler, TX 75703 Phone: 903-561-7873 | |
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