Ikids Pediatric Dentistry Ennis, Pllc | |
711 S Clay St Ste A Ennis TX 75119 | |
(682) 222-1010 | |
Not Available |
Full Name | Ikids Pediatric Dentistry Ennis, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 711 S Clay St Ste A, Ennis, Texas |
Authorized Official Name and Position | Alyssa Aguilar (DIRECTOR OF REVENUE & CREDENTIALING) |
Authorized Official Contact | 8174668554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ikids Pediatric Dentistry Ennis, Pllc 2500 E Broad St Ste 204 Mansfield TX 76063-4361 Ph: (817) 466-8554 | Ikids Pediatric Dentistry Ennis, Pllc 711 S Clay St Ste A Ennis TX 75119 Ph: (682) 222-1010 |
NPI Number | 1952806085 |
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Provider Enumeration Date | 03/29/2018 |
Last Update Date | 03/04/2021 |
Identifier | Type | State | Issuer |
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1952806085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Camelot Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 W Ennis Ave, Ennis, TX 75119 Phone: 916-897-6682 | |
Ennis Smiles Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Ennis Ave, Ennis, TX 75119 Phone: 972-875-2501 | |
Family Smiles Of Ennis Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Ennis Ave, Ennis, TX 75119 Phone: 617-281-7947 | |
Larry W. Treadaway, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 S Clay St, Ennis, TX 75119 Phone: 972-875-6081 Fax: 972-875-5043 | |
Stephen C. Durbin, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Ennis Ave, Ennis, TX 75119 Phone: 972-875-9031 Fax: 972-878-9032 | |
Grill Repair, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Ennis Ave, Ennis, TX 75119 Phone: 817-897-6006 | |
Ennis Family Dentistry & Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 E Ennis Ave Ste A, Ennis, TX 75119 Phone: 972-869-3789 |