| Bulverde Premier Dental | |
|
20540 Highway 46 W Ste 100 Spring Branch TX 78070-6825 | |
| (830) 980-8099 | |
| Not Available |
| Full Name | Bulverde Premier Dental |
|---|---|
| Speciality | Dentist |
| Location | 20540 Highway 46 W Ste 100, Spring Branch, Texas |
| Authorized Official Name and Position | Bethany Enderle (PRACTICE DIRECTOR) |
| Authorized Official Contact | 8309808099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bulverde Premier Dental 20540 Highway 46 W Ste 100 Spring Branch TX 78070-6825 Ph: (830) 980-8099 | Bulverde Premier Dental 20540 Highway 46 W Ste 100 Spring Branch TX 78070-6825 Ph: (830) 980-8099 |
| NPI Number | 1083089270 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083089270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Texas) | Secondary |
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