| Groesbeck Family Dental | |
|
902 W Yeagua St Groesbeck TX 76642-3526 | |
| (254) 729-8400 | |
| Not Available |
| Full Name | Groesbeck Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 902 W Yeagua St, Groesbeck, 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 |
|---|---|
| Groesbeck Family Dental 17480 Dallas Pkwy Ste 213 Dallas TX 75287-7304 Ph: (972) 248-1221 | Groesbeck Family Dental 902 W Yeagua St Groesbeck TX 76642-3526 Ph: (254) 729-8400 |
| NPI Number | 1710540232 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 04/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710540232 | NPI | - | NPPES |
| 1902829070 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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