| Greenville Pediatric Dentistry, P.a. | |
|
3101 Joe Ramsey Blvd E Suite 103a Greenville TX 75401-7716 | |
| (903) 454-0771 | |
| Not Available |
| Full Name | Greenville Pediatric Dentistry, P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3101 Joe Ramsey Blvd E, Greenville, Texas |
| Authorized Official Name and Position | Kathryn Ann Kreider (PRESIDENT) |
| Authorized Official Contact | 9034540771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Pediatric Dentistry, P.a. 3101 Joe Ramsey Blvd E Suite 103a Greenville TX 75401-7716 Ph: (903) 454-0771 | Greenville Pediatric Dentistry, P.a. 3101 Joe Ramsey Blvd E Suite 103a Greenville TX 75401-7716 Ph: (903) 454-0771 |
| NPI Number | 1003022930 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003022930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 19282 (Texas) | Primary |
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