| Lake Jackson Oral And Maxillofacial Surgery, Pllc | |
|
103 Abner Jackson Pkwy Lake Jackson TX 77566-5163 | |
| (979) 299-6878 | |
| (979) 299-6166 |
| Full Name | Lake Jackson Oral And Maxillofacial Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 103 Abner Jackson Pkwy, Lake Jackson, Texas |
| Authorized Official Name and Position | Nathan Phillips (PROVIDER) |
| Authorized Official Contact | 9792996878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Jackson Oral And Maxillofacial Surgery, Pllc 103 Abner Jackson Pkwy Lake Jackson TX 77566-5163 Ph: (979) 299-6878 | Lake Jackson Oral And Maxillofacial Surgery, Pllc 103 Abner Jackson Pkwy Lake Jackson TX 77566-5163 Ph: (979) 299-6878 |
| NPI Number | 1831557370 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831557370 | NPI | - | NPPES |
| 3377855 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 16829 (Texas) | Primary |
Koury & Mitschke Dentistry Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Oak Dr S, Suite 206, Lake Jackson, TX 77566 Phone: 979-297-2491 Fax: 979-297-3468 | |
Levi Le Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 B Parking Way, Lake Jackson, TX 77566 Phone: 979-297-9838 | |
Lake Jackson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 N Dixie Dr, Lake Jackson, TX 77566 Phone: 979-297-6438 Fax: 979-297-4644 | |
Eco Dental Care, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 Phone: 979-316-2973 | |
Brian K Bell Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566 Phone: 979-297-1201 Fax: 979-297-6226 | |
Derek Xu Liang Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 This Way St, Lake Jackson, TX 77566 Phone: 832-458-1068 | |
Lake Jackson Dental Care P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Circle Way St, Lake Jackson, TX 77566 Phone: 979-297-5151 |