| Clear Lake Dental Care | |
|
17330 Highway 3 Webster TX 77598-4133 | |
| (281) 560-3020 | |
| Not Available |
| Full Name | Clear Lake Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 17330 Highway 3, Webster, Texas |
| Authorized Official Name and Position | Brandi Kellogg (OFFICE MANAGER) |
| Authorized Official Contact | 2815578097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Dental Care 17330 Highway 3 Webster TX 77598-4133 Ph: (812) 560-3020 | Clear Lake Dental Care 17330 Highway 3 Webster TX 77598-4133 Ph: (281) 560-3020 |
| NPI Number | 1407925373 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 9234406257 |
|---|---|
| Medicare Enrollment ID | O20170523002219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407925373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18906 (Texas) | Primary |
| Provider Name | Piyuse Das |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558522995 PECOS PAC ID: 0143597161 Enrollment ID: I20170523002405 |
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