| Kids Dental Center Pllc | |
|
908 W Main St Atlanta TX 75551-3430 | |
| (903) 831-1000 | |
| Not Available |
| Full Name | Kids Dental Center Pllc |
|---|---|
| Speciality | Dentist |
| Location | 908 W Main St, Atlanta, Texas |
| Authorized Official Name and Position | David M Glass (OWNER/DENTIST) |
| Authorized Official Contact | 9038311000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Center Pllc 908 W Main St Atlanta TX 75551-3430 Ph: () - | Kids Dental Center Pllc 908 W Main St Atlanta TX 75551-3430 Ph: (903) 831-1000 |
| NPI Number | 1508233115 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 08/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508233115 | NPI | - | NPPES |
| 282579601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 26442 (Texas) | Primary |
Giesler Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bayou Dr, Atlanta, TX 75551 Phone: 903-796-9051 Fax: 903-799-5475 |