| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2703 Gilmer Rd, Longview, Texas |
| Authorized Official Name and Position | David Lance Sanders (DENTIST) |
| Authorized Official Contact | 9037592902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2703 Gilmer Rd Longview TX 75604 Ph: (903) 759-2902 | 2703 Gilmer Rd Longview TX 75604 Ph: (903) 759-2902 |
| NPI Number | 1154407542 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154407542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Pediatric Dental Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Doctor Cir, Longview, TX 75605 Phone: 903-758-6406 Fax: 903-758-8116 | |
Longview Family And Emergancy Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2840 Bill Owens Pkwy Ste B, Longview, TX 75605 Phone: 704-582-2272 | |
East Tx Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2414 Gilmer Rd, Longview, TX 75604 Phone: 903-242-8594 Fax: 903-282-1405 |