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172 Creekside Park Rd Ste 113 Spring Branch TX 78070-6238 | |
| (830) 438-7250 | |
| (830) 438-6716 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 172 Creekside Park Rd Ste 113, Spring Branch, Texas |
| Authorized Official Name and Position | Tyler Whitman Ferris (OWNER) |
| Authorized Official Contact | 8304387250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
24165 W Interstate 10 Ste 209 San Antonio TX 78257-1160 Ph: (210) 698-2480 | 172 Creekside Park Rd Ste 113 Spring Branch TX 78070-6238 Ph: (830) 438-7250 |
| NPI Number | 1710005079 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710005079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Tm2 Dental ,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21477 State Highway 46 W Ste 101, Spring Branch, TX 78070 Phone: 830-438-2121 Fax: 830-438-2121 | |
My Local Texas Dental Practice, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20540 Highway 46 W Ste 100, Spring Branch, TX 78070 Phone: 830-980-8099 | |
Texas Dental Orthodontics Practice, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20540 State Highway 46 W Ste 100, Spring Branch, TX 78070 Phone: 830-980-8099 |