| Family Dental On Louetta | |
|
8678 Louetta Rd Ste A Spring TX 77379-6680 | |
| (281) 376-3959 | |
| Not Available |
| Full Name | Family Dental On Louetta |
|---|---|
| Speciality | Dentist |
| Location | 8678 Louetta Rd Ste A, Spring, Texas |
| Authorized Official Name and Position | Cassandra Teutsch (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental On Louetta 8678 Louetta Rd Ste A Spring TX 77379-6680 Ph: (281) 376-3959 | Family Dental On Louetta 8678 Louetta Rd Ste A Spring TX 77379-6680 Ph: (281) 376-3959 |
| NPI Number | 1316499296 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 09/10/2018 |
| Medicare PECOS PAC ID | 8820455009 |
|---|---|
| Medicare Enrollment ID | O20230602000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316499296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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