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606 South Colorado St Lockhart TX 78644 | |
| (940) 220-7833 | |
| (855) 731-5147 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 606 South Colorado St, Lockhart, Texas |
| Authorized Official Name and Position | Craig Fleming Copeland (OWNER) |
| Authorized Official Contact | 9402207833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 674330 Dallas TX 75267-4330 Ph: () - | 606 South Colorado St Lockhart TX 78644 Ph: (940) 220-7833 |
| NPI Number | 1114422664 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114422664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25735 (Texas) | Primary |
Gail Gardner Livengood Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 State Park Rd, Lockhart, TX 78644 Phone: 512-398-3429 Fax: 512-398-2233 | |
Lockhart Smile Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Main St, Lockhart, TX 78644 Phone: 512-398-6122 | |
My Local Texas Dental Practice, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 State Park Rd, Lockhart, TX 78644 Phone: 512-398-4934 | |