| Kenedy Family Dental | |
|
131 Business Park Blvd Ste 600 Kenedy TX 78119-3512 | |
| (830) 299-3848 | |
| (830) 299-3859 |
| Full Name | Kenedy Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 131 Business Park Blvd Ste 600, Kenedy, Texas |
| Authorized Official Name and Position | Robert Fletcher (DENTIST OWNER) |
| Authorized Official Contact | 8302993848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenedy Family Dental 131 Business Park Blvd Ste 600 Kenedy TX 78119-3512 Ph: (830) 299-3848 | Kenedy Family Dental 131 Business Park Blvd Ste 600 Kenedy TX 78119-3512 Ph: (830) 299-3848 |
| NPI Number | 1265890362 |
|---|---|
| Provider Enumeration Date | 02/03/2016 |
| Last Update Date | 02/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265890362 | NPI | - | NPPES |
| 1578878559 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr. Wade Phelps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Liveoak St, Kenedy, TX 78119 Phone: 830-583-9891 | |
Agave Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Business Park Drive, Suite 200, Kenedy, TX 78119 Phone: 830-393-8333 |