| Georgetown Family Dental Pllc | |
|
3622 Williams Dr Ste 2 Georgetown TX 78628-2508 | |
| (512) 819-9100 | |
| Not Available |
| Full Name | Georgetown Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3622 Williams Dr Ste 2, Georgetown, Texas |
| Authorized Official Name and Position | William Robert Jennings (OWNER) |
| Authorized Official Contact | 9402068956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Family Dental Pllc 2109 Commerce St # 200 Dallas TX 75201-4305 Ph: (972) 248-1221 | Georgetown Family Dental Pllc 3622 Williams Dr Ste 2 Georgetown TX 78628-2508 Ph: (512) 819-9100 |
| NPI Number | 1578221396 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578221396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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