| Creekwood Dental Arts, Pllc | |
|
7911 Woodway Dr Waco TX 76712-3866 | |
| (254) 772-3632 | |
| (254) 772-7856 |
| Full Name | Creekwood Dental Arts, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7911 Woodway Dr, Waco, Texas |
| Authorized Official Name and Position | Austin Revvie Green (DENTIST) |
| Authorized Official Contact | 2547723632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekwood Dental Arts, Pllc 7911 Woodway Dr Waco TX 76712-3866 Ph: (254) 772-3632 | Creekwood Dental Arts, Pllc 7911 Woodway Dr Waco TX 76712-3866 Ph: (254) 772-3632 |
| NPI Number | 1235735218 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235735218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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