| Dr. Wade Phelps | |
|
330 W Liveoak St Kenedy TX 78119-2326 | |
| (830) 583-9891 | |
| Not Available |
| Full Name | Dr. Wade Phelps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 W Liveoak St, Kenedy, Texas |
| Authorized Official Name and Position | Wade Phelps (OWNER) |
| Authorized Official Contact | 8305839891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Wade Phelps 330 W Liveoak St Kenedy TX 78119-2326 Ph: () - | Dr. Wade Phelps 330 W Liveoak St Kenedy TX 78119-2326 Ph: (830) 583-9891 |
| NPI Number | 1346414174 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346414174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Kenedy Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Business Park Blvd Ste 600, Kenedy, TX 78119 Phone: 830-299-3848 Fax: 830-299-3859 | |
Agave Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Business Park Drive, Suite 200, Kenedy, TX 78119 Phone: 830-393-8333 |