| Hutto Premier Dentistry | |
|
123 Ed Schmidt Blvd 100 Hutto TX 78634-5585 | |
| (512) 846-2646 | |
| (512) 846-1258 |
| Full Name | Hutto Premier Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 123 Ed Schmidt Blvd, Hutto, Texas |
| Authorized Official Name and Position | John Fowler Mcentire (DENTIST) |
| Authorized Official Contact | 5128462646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hutto Premier Dentistry 123 Ed Schmidt Blvd 100 Hutto TX 78634-5585 Ph: (512) 846-2646 | Hutto Premier Dentistry 123 Ed Schmidt Blvd 100 Hutto TX 78634-5585 Ph: (512) 846-2646 |
| NPI Number | 1932451887 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932451887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22799 (Texas) | Primary |
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