|
| |
|
3101 S. Center Street Suite 101 Arlington TX 76014 | |
| (817) 466-7057 | |
| (817) 549-5104 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3101 S. Center Street, Arlington, Texas |
| Authorized Official Name and Position | James E. Hyde (OWNER) |
| Authorized Official Contact | 8174782300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4220 Little Road Arlington TX 76016 Ph: (817) 478-2300 | 3101 S. Center Street Suite 101 Arlington TX 76014 Ph: (817) 466-7057 |
| NPI Number | 1164434411 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164434411 | NPI | - | NPPES |
| G60005-1 | Other | TX | TEXAS CHIP PROGAM |
| 169951701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9223 (Texas) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Star Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5615 Sw Green Oaks Blvd, Arlington, TX 76017 Phone: 817-483-1692 Fax: 817-483-1792 | |
P&g Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4050 S Collins St Ste 300, Arlington, TX 76014 Phone: 817-476-7738 | |
West Park Row Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3008a West Park Row Dr, Arlington, TX 76013 Phone: 817-277-1301 Fax: 817-277-4795 | |