| Creekside Dental | |
|
17159 Fm 2493 Flint TX 75762 | |
| (903) 894-6064 | |
| (903) 894-6057 |
| Full Name | Creekside Dental |
|---|---|
| Speciality | Dentist |
| Location | 17159 Fm 2493, Flint, Texas |
| Authorized Official Name and Position | John Guy Enloe (OWNER/DENTIST) |
| Authorized Official Contact | 9038946064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Dental 17159 Fm 2493 Flint TX 75762 Ph: (903) 894-6064 | Creekside Dental 17159 Fm 2493 Flint TX 75762 Ph: (903) 894-6064 |
| NPI Number | 1740428028 |
|---|---|
| Provider Enumeration Date | 01/26/2009 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740428028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14499 (Texas) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 14499 (Texas) | Secondary |
Flint Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17159 Fm 2493, Flint, TX 75762 Phone: 064-903-8946 | |
Parris J Kitt, Dds,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10752 Fm 2813, Flint, TX 75762 Phone: 903-561-4477 Fax: 903-561-4475 |