Icare Dental | |
5425 Highway 6 Ste C100 Missouri City TX 77459-4390 | |
(281) 261-8258 | |
Not Available |
Full Name | Icare Dental |
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Speciality | Clinic/Center |
Location | 5425 Highway 6 Ste C100, Missouri City, Texas |
Authorized Official Name and Position | Cong Peng (DENTIST) |
Authorized Official Contact | 7816276588 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Icare Dental 3010 Leona Ct Pearland TX 77584-8725 Ph: (781) 627-6588 | Icare Dental 5425 Highway 6 Ste C100 Missouri City TX 77459-4390 Ph: (281) 261-8258 |
NPI Number | 1811622707 |
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Provider Enumeration Date | 07/24/2022 |
Last Update Date | 07/24/2022 |
Medicare PECOS PAC ID | 5991170086 |
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Medicare Enrollment ID | O20230403000864 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811622707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Cong Peng |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1750875662 PECOS PAC ID: 6800261991 Enrollment ID: I20230405000730 |
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