Gbcc Dental Pllc | |
1104 Bluebonnet St Glen Rose TX 76043 | |
(254) 898-4646 | |
(254) 897-7321 |
Full Name | Gbcc Dental Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1104 Bluebonnet St, Glen Rose, Texas |
Authorized Official Name and Position | Clayton K Cook (OWNER/DENTIST) |
Authorized Official Contact | 8172941090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gbcc Dental Pllc 1104 Bluebonnet St Glen Rose TX 76043 Ph: (254) 898-4646 | Gbcc Dental Pllc 1104 Bluebonnet St Glen Rose TX 76043 Ph: (254) 898-4646 |
NPI Number | 1407397144 |
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Provider Enumeration Date | 03/14/2017 |
Last Update Date | 09/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407397144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 29154 (Texas) | Primary |
Polished Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Spanish Oaks Trail, Glen Rose, TX 76043 Phone: 254-897-3143 Fax: 903-465-1134 |