| J. Craig Scasta, D.d.s., Pa | |
|
1615 Barak Ln Ste 2 Bryan TX 77802-3301 | |
| (979) 260-2626 | |
| (979) 260-2631 |
| Full Name | J. Craig Scasta, D.d.s., Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1615 Barak Ln Ste 2, Bryan, Texas |
| Authorized Official Name and Position | J. Craig Scasta (PRESIDENT) |
| Authorized Official Contact | 9792602626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Craig Scasta, D.d.s., Pa 1615 Barak Ln Ste 2 Bryan TX 77802-3301 Ph: (979) 260-2626 | J. Craig Scasta, D.d.s., Pa 1615 Barak Ln Ste 2 Bryan TX 77802-3301 Ph: (979) 260-2626 |
| NPI Number | 1255667168 |
|---|---|
| Provider Enumeration Date | 10/28/2009 |
| Last Update Date | 10/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255667168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20230 (Texas) | Primary |
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John H. Case D.d.s., M.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1326 Memorial Dr, Bryan, TX 77802 Phone: 979-776-8100 Fax: 979-776-8123 | |
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