| Culberson R Boren Dds | |
|
1634 S Jackson St Jacksonville TX 75766-3028 | |
| (903) 581-2198 | |
| (903) 581-9571 |
| Full Name | Culberson R Boren Dds |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1634 S Jackson St, Jacksonville, Texas |
| Authorized Official Name and Position | Culberson Reeves Boren (OWNER/ DENTIST) |
| Authorized Official Contact | 9035812198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Culberson R Boren Dds 1634 S Jackson St Jacksonville TX 75766-3028 Ph: (903) 581-2198 | Culberson R Boren Dds 1634 S Jackson St Jacksonville TX 75766-3028 Ph: (903) 581-2198 |
| NPI Number | 1215208947 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 01/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215208947 | NPI | - | NPPES |
| 008045901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 13063 (Texas) | Primary |
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J.michael Hatchett, Dds, Pc Mark Allan Thompson, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Wynn Dr, Jacksonville, TX 75766 Phone: 903-586-6829 Fax: 903-589-6801 | |
Dental Zone Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1311 S Jackson St, Suite G, Jacksonville, TX 75766 Phone: 617-838-2696 |