Brownwood Smilecrafters, Pllc | |
3709 Austin Ave Brownwood TX 76801-6626 | |
(325) 646-0516 | |
Not Available |
Full Name | Brownwood Smilecrafters, Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 3709 Austin Ave, Brownwood, Texas |
Authorized Official Name and Position | Jeanne Hansen Bayless (PRESIDENT) |
Authorized Official Contact | 3256738164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brownwood Smilecrafters, Pllc 3709 Austin Ave Brownwood TX 76801-6626 Ph: (325) 646-0516 | Brownwood Smilecrafters, Pllc 3709 Austin Ave Brownwood TX 76801-6626 Ph: (325) 646-0516 |
NPI Number | 1013278779 |
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Provider Enumeration Date | 05/30/2012 |
Last Update Date | 05/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013278779 | NPI | - | NPPES |
208670402 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12014 (Texas) | Primary |
Brownwood Tx Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Avenue K, Brownwood, TX 76801 Phone: 325-643-2551 | |
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