| Heritage Dental | |
|
23945 Franz Rd Ste A Katy TX 77493-2047 | |
| (832) 437-5895 | |
| (832) 263-0622 |
| Full Name | Heritage Dental |
|---|---|
| Speciality | Dentist |
| Location | 23945 Franz Rd Ste A, Katy, Texas |
| Authorized Official Name and Position | Hieu Nguyen (PRESIDENT) |
| Authorized Official Contact | 6823650895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Dental 23945 Franz Rd Ste A Katy TX 77493-2047 Ph: (832) 437-5895 | Heritage Dental 23945 Franz Rd Ste A Katy TX 77493-2047 Ph: (832) 437-5895 |
| NPI Number | 1427436054 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Medicare PECOS PAC ID | 1557654555 |
|---|---|
| Medicare Enrollment ID | O20160728001745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427436054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29036 (Texas) | Primary |
| Provider Name | Hieu Chi Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538509625 PECOS PAC ID: 7618260613 Enrollment ID: I20160728001934 |
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