| Fusion Dental At Clear Creek Pllc | |
|
4102 S Clear Creek Rd Ste 102 Killeen TX 76549-5954 | |
| (254) 213-5773 | |
| Not Available |
| Full Name | Fusion Dental At Clear Creek Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4102 S Clear Creek Rd Ste 102, Killeen, Texas |
| Authorized Official Name and Position | Johnny W Johnson (OWNER/DENTIST) |
| Authorized Official Contact | 2542135773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fusion Dental At Clear Creek Pllc 4102 S Clear Creek Rd Ste 102 Killeen TX 76549-5954 Ph: (254) 213-5773 | Fusion Dental At Clear Creek Pllc 4102 S Clear Creek Rd Ste 102 Killeen TX 76549-5954 Ph: (254) 213-5773 |
| NPI Number | 1851702872 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851702872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25786 (Texas) | Primary |
Stephen K. Brandt Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 S W S Young Dr Ste D, Killeen, TX 76543 Phone: 254-690-5043 Fax: 254-690-3668 | |
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