| Central Texas Orthodontic Specialists | |
|
5180 W Waco Dr Waco TX 76710-7024 | |
| (254) 399-9800 | |
| (254) 399-9700 |
| Full Name | Central Texas Orthodontic Specialists |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5180 W Waco Dr, Waco, Texas |
| Authorized Official Name and Position | Lisa L. Kerns (DOCTOR) |
| Authorized Official Contact | 2543999800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Texas Orthodontic Specialists 5180 W Waco Dr Waco TX 76710-7024 Ph: (254) 399-9800 | Central Texas Orthodontic Specialists 5180 W Waco Dr Waco TX 76710-7024 Ph: (254) 399-9800 |
| NPI Number | 1699044784 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699044784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 17577 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 188559 (Texas) | Secondary |
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