| East Texas Children's Dentistry, P.a. | |
|
203 W 20th St Suite B Mt Pleasant TX 75455-1101 | |
| (903) 577-9900 | |
| (903) 577-9901 |
| Full Name | East Texas Children's Dentistry, P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 203 W 20th St, Mt Pleasant, Texas |
| Authorized Official Name and Position | Kenneth C. Thompson (DENTIST) |
| Authorized Official Contact | 9035779900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Children's Dentistry, P.a. 203 W 20th St Suite B Mt Pleasant TX 75455-1101 Ph: (903) 577-9900 | East Texas Children's Dentistry, P.a. 203 W 20th St Suite B Mt Pleasant TX 75455-1101 Ph: (903) 577-9900 |
| NPI Number | 1528232006 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528232006 | NPI | - | NPPES |
| 87D558 | Other | TX | BCBS OF TEXAS |
| 1387039 | Other | TX | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | TX10422 (Texas) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | TX 20214 (Texas) | Primary |
Shahid Dental Group Satellite, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 N Van Buren Ave, Mt Pleasant, TX 75455 Phone: 903-572-5635 Fax: 903-577-9140 | |
The Mount Pleasant Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 W 19th St, Mt Pleasant, TX 75455 Phone: 903-572-4141 Fax: 972-596-9747 | |
Shae Ochoa Dds, Ms, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2015 W Ferguson Rd, Mt Pleasant, TX 75455 Phone: 903-572-8543 Fax: 888-317-8286 | |
Shahid Dental Group Mt. Pleasant, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 W 19th St, Mt Pleasant, TX 75455 Phone: 903-572-4141 |