| Dod | |
|
Us Army Dental Activity 4431 68th Street Fort Hood TX 76544 | |
| (254) 287-3105 | |
| Not Available |
| Full Name | Dod |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Us Army Dental Activity, Fort Hood, Texas |
| Authorized Official Name and Position | Stephen Thomas Wolpert (GENERAL DENTIST) |
| Authorized Official Contact | 2543717787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dod Us Army Dental Activity 4431 68th Street Apo AA 76544 Ph: () - | Dod Us Army Dental Activity 4431 68th Street Fort Hood TX 76544 Ph: (254) 287-3105 |
| NPI Number | 1659722189 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659722189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 06749 (Iowa) | Secondary |
| 261QD0000X | Clinic/center - Dental | 5863 (Nebraska) | Primary |
Smilecare Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 761st Tank Battalion, Bldg 330, Fort Hood, TX 76544 Phone: 254-285-2014 Fax: 254-285-2182 |