Dentrust Dental Texas, P.c. | |
4250 Clear Creek Rd #213 Ft. Hood TX 76544 | |
(254) 423-9234 | |
(254) 312-7441 |
Full Name | Dentrust Dental Texas, P.c. |
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Speciality | Dentist - General Practice |
Location | 4250 Clear Creek Rd, Ft. Hood, Texas |
Authorized Official Name and Position | Amanda Anne Clark (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 2679275000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentrust Dental Texas, P.c. 1221 Vinewood Dr Seffner FL 33584-4829 Ph: (813) 451-4503 | Dentrust Dental Texas, P.c. 4250 Clear Creek Rd #213 Ft. Hood TX 76544 Ph: (254) 423-9234 |
NPI Number | 1407521180 |
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Provider Enumeration Date | 08/13/2021 |
Last Update Date | 08/13/2021 |
Identifier | Type | State | Issuer |
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1407521180 | NPI | - | NPPES |
18598 | Other | TX | LC LICENSE |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |