| Texas A&m School Of Dentistry | |
|
3000 Gaston Ave Dallas TX 75226 | |
| (214) 828-8100 | |
| (214) 874-4552 |
| Full Name | Texas A&m School Of Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3000 Gaston Ave, Dallas, Texas |
| Authorized Official Name and Position | Robin Fuller (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9794360398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas A&m School Of Dentistry 3000 Gaston Ave Dallas TX 75226 Ph: (214) 828-8100 | Texas A&m School Of Dentistry 3000 Gaston Ave Dallas TX 75226 Ph: (214) 828-8100 |
| NPI Number | 1912918798 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 3173931292 |
|---|---|
| Medicare Enrollment ID | O20210409000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912918798 | NPI | - | NPPES |
| Provider Name | John M Wright |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1104964295 PECOS PAC ID: 1951384916 Enrollment ID: I20120314000220 |
| Provider Name | Marianela Gonzalez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316138803 PECOS PAC ID: 9436439270 Enrollment ID: I20161213001076 |
| Provider Name | Andrew Read-fuller |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1194024190 PECOS PAC ID: 2365774577 Enrollment ID: I20191021002057 |
| Provider Name | Likith V Reddy |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1104887645 PECOS PAC ID: 2567634009 Enrollment ID: I20191210002778 |
| Provider Name | Mehrnaz Tahmasbi Arashlow |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912365396 PECOS PAC ID: 8123423076 Enrollment ID: I20210816003348 |
| Provider Name | Madhu Karuna Nair |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952370322 PECOS PAC ID: 7911931647 Enrollment ID: I20210826000074 |
| Provider Name | Ehab A Shehata |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679912711 PECOS PAC ID: 5092957340 Enrollment ID: I20220121001482 |
| Provider Name | Victoria Luo-kei Woo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932284213 PECOS PAC ID: 2062434657 Enrollment ID: I20240110003491 |
| Provider Name | Hui Liang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1497116552 PECOS PAC ID: 3476906330 Enrollment ID: I20240126001356 |
| Provider Name | Maria Leticia Ferreira Cabido |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740528280 PECOS PAC ID: 8325289341 Enrollment ID: I20240205003865 |
| Provider Name | Madhu Shrestha |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1861187528 PECOS PAC ID: 8820435878 Enrollment ID: I20240326001833 |
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