Haynes Dental Pllc | |
1530 Texas Ave S 300 College Station TX 77840-3329 | |
(979) 599-5554 | |
Not Available |
Full Name | Haynes Dental Pllc |
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Speciality | Dentist - General Practice |
Location | 1530 Texas Ave S, College Station, Texas |
Authorized Official Name and Position | Kimberly Haynes (OWNER) |
Authorized Official Contact | 9795995554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Haynes Dental Pllc Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Haynes Dental Pllc 1530 Texas Ave S 300 College Station TX 77840-3329 Ph: (979) 599-5554 |
NPI Number | 1528491081 |
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Provider Enumeration Date | 08/19/2013 |
Last Update Date | 08/19/2013 |
Identifier | Type | State | Issuer |
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1528491081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 28508 (Texas) | Primary |
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