| Ivory Pediatric Dental | |
|
311 S Fm 1187 Ste 300 Aledo TX 76008-6452 | |
| (817) 406-2025 | |
| Not Available |
| Full Name | Ivory Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 311 S Fm 1187 Ste 300, Aledo, Texas |
| Authorized Official Name and Position | Adrienne Archidiacono (PRACTICE OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 8174062025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivory Pediatric Dental 311 S Fm 1187 Ste 300 Aledo TX 76008-6452 Ph: () - | Ivory Pediatric Dental 311 S Fm 1187 Ste 300 Aledo TX 76008-6452 Ph: (817) 406-2025 |
| NPI Number | 1790408227 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790408227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Goodwin Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 N Fm 1187, 600, Aledo, TX 76008 Phone: 682-214-8490 | |
Archstone Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Willow Bend Dr Ste 100, Aledo, TX 76008 Phone: 972-869-3789 |