| Economy Dental, Inc. | |
|
11100 Parkfield Dr Austin TX 78758-4263 | |
| (512) 339-7848 | |
| (512) 339-7862 |
| Full Name | Economy Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11100 Parkfield Dr, Austin, Texas |
| Authorized Official Name and Position | Gene Gress (PRESIDENT) |
| Authorized Official Contact | 5124614027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Economy Dental, Inc. 11100 Parkfield Dr Austin TX 78758-4263 Ph: (512) 339-7848 | Economy Dental, Inc. 11100 Parkfield Dr Austin TX 78758-4263 Ph: (512) 339-7848 |
| NPI Number | 1942481304 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942481304 | NPI | - | NPPES |
| 167784101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13087 (Texas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 24336 (Texas) | Secondary |
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