| |
2310 Settlers Way Blvd Sugar Land TX 77478-5260 | |
(281) 265-2222 | |
(281) 265-1850 |
Full Name | |
---|---|
Speciality | Dentist |
Location | 2310 Settlers Way Blvd, Sugar Land, Texas |
Authorized Official Name and Position | Faye Jamnejad (INSURANCE MANAGER) |
Authorized Official Contact | 7137228400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1454 Campbell Rd Ste 200 Houston TX 77055-4604 Ph: (713) 722-8400 | 2310 Settlers Way Blvd Sugar Land TX 77478-5260 Ph: (281) 265-2222 |
NPI Number | 1659517985 |
---|---|
Provider Enumeration Date | 12/16/2008 |
Last Update Date | 04/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659517985 | NPI | - | NPPES |
G60189-02 | Other | CA | STATE GOVERNMENT PROGRAM TEXAS CHIP |
009830301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5820 (Texas) | Primary |
Dental Specialist Of Texas Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15200 Southwest Fwy Ste 120, Sugar Land, TX 77478 Phone: 281-494-2477 | |
Avalon Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Williams Trace Blvd, Ste 108, Sugar Land, TX 77478 Phone: 281-240-5559 Fax: 281-240-5557 |