| Fairway Drive Dentistry Pllc | |
|
1701 Fairway Dr Ste 20 Alvin TX 77511-4678 | |
| (281) 331-0020 | |
| (281) 585-0505 |
| Full Name | Fairway Drive Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1701 Fairway Dr Ste 20, Alvin, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairway Drive Dentistry Pllc 1701 Fairway Dr Ste 20 Alvin TX 77511-4678 Ph: (281) 331-0020 | Fairway Drive Dentistry Pllc 1701 Fairway Dr Ste 20 Alvin TX 77511-4678 Ph: (281) 331-0020 |
| NPI Number | 1336764000 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336764000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Smile Avenue Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1591 E Highway 6, Suite 109, Alvin, TX 77511 Phone: 281-824-3043 Fax: 281-605-5578 |