| Facial And Skin Surgery Center Pa | |
|
5026 Tennyson Pkwy Plano TX 75024-3002 | |
| (972) 985-1920 | |
| (972) 985-1176 |
| Full Name | Facial And Skin Surgery Center Pa |
|---|---|
| Speciality | Dentist |
| Location | 5026 Tennyson Pkwy, Plano, Texas |
| Authorized Official Name and Position | Gilbert T Selkin (OWNER) |
| Authorized Official Contact | 9729851920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Facial And Skin Surgery Center Pa 5026 Tennyson Pkwy Plano TX 75024-3002 Ph: (972) 985-1920 | Facial And Skin Surgery Center Pa 5026 Tennyson Pkwy Plano TX 75024-3002 Ph: (972) 985-1920 |
| NPI Number | 1346521010 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 09/07/2011 |
| Medicare PECOS PAC ID | 1951573757 |
|---|---|
| Medicare Enrollment ID | O20111019000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346521010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | N1443 (Texas) | Primary |
| Provider Name | Gilbert T Selkin |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1447469762 PECOS PAC ID: 1557490547 Enrollment ID: I20100601000578 |
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