| Central Texas Implant Center Pllc | |
|
7320 N Mo Pac Expy #200 Austin TX 78731-2338 | |
| (512) 825-9921 | |
| Not Available |
| Full Name | Central Texas Implant Center Pllc |
|---|---|
| Speciality | Dentist |
| Location | 7320 N Mo Pac Expy, Austin, Texas |
| Authorized Official Name and Position | Bhavesh Bhakta (OWNER) |
| Authorized Official Contact | 5128259921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Texas Implant Center Pllc 7320 N Mo Pac Expy #200 Austin TX 78731-2338 Ph: () - | Central Texas Implant Center Pllc 7320 N Mo Pac Expy #200 Austin TX 78731-2338 Ph: (512) 825-9921 |
| NPI Number | 1205360252 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 04/17/2017 |
| Medicare PECOS PAC ID | 7911274279 |
|---|---|
| Medicare Enrollment ID | O20170517001942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205360252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | TX 24465 (Texas) | Primary |
| Provider Name | Bhavesh Bhakta |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780858688 PECOS PAC ID: 9739456096 Enrollment ID: I20170517002572 |
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