| Lake View Dental Center | |
|
1800 S Pacific St Mineola TX 75773-2800 | |
| (903) 569-5569 | |
| (903) 569-1601 |
| Full Name | Lake View Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1800 S Pacific St, Mineola, Texas |
| Authorized Official Name and Position | Debbie D Priddy (BUSINESS MANAGER) |
| Authorized Official Contact | 9035695569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake View Dental Center 1800 S Pacific St Mineola TX 75773-2800 Ph: (903) 569-5569 | Lake View Dental Center 1800 S Pacific St Mineola TX 75773-2800 Ph: (903) 569-5569 |
| NPI Number | 1699953349 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699953349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mineola Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 344 Nw Loop 564 Ste 400, Mineola, TX 75773 Phone: 903-948-1563 |