| Cedar Park Periodontics, Pc | |
|
209 Denali Pass Suite A Cedar Park TX 78613 | |
| (512) 528-1400 | |
| (512) 528-1466 |
| Full Name | Cedar Park Periodontics, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 209 Denali Pass, Cedar Park, Texas |
| Authorized Official Name and Position | David Roy Reeves (PRESIDENT) |
| Authorized Official Contact | 5125281400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Park Periodontics, Pc 209 Denali Pass Suite A Cedar Park TX 78613 Ph: (512) 528-1400 | Cedar Park Periodontics, Pc 209 Denali Pass Suite A Cedar Park TX 78613 Ph: (512) 528-1400 |
| NPI Number | 1295939759 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295939759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 21653 (Texas) | Primary |
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