Dba Olney Family Dentistry | |
125 E Main St Olney TX 76374 | |
(940) 564-4470 | |
(940) 564-4472 |
Full Name | Dba Olney Family Dentistry |
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Speciality | Dentist |
Location | 125 E Main St, Olney, Texas |
Authorized Official Name and Position | Timothy James Sweeney (CO OWNER) |
Authorized Official Contact | 9405644470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dba Olney Family Dentistry 125 E Main St Olney TX 76374 Ph: (940) 564-4470 | Dba Olney Family Dentistry 125 E Main St Olney TX 76374 Ph: (940) 564-4470 |
NPI Number | 1164571063 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 08/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164571063 | NPI | - | NPPES |
153191501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |