| Lakewood Dental Associates, Pllc | |
|
901 Normal Park Dr Suite 200 Huntsville TX 77320-3770 | |
| (936) 689-6544 | |
| Not Available |
| Full Name | Lakewood Dental Associates, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 901 Normal Park Dr, Huntsville, Texas |
| Authorized Official Name and Position | Jeffrey Clark (OWNER/DENTIST) |
| Authorized Official Contact | 9366896544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental Associates, Pllc 901 Normal Park Dr Suite 200 Huntsville TX 77320-3770 Ph: (936) 689-6544 | Lakewood Dental Associates, Pllc 901 Normal Park Dr Suite 200 Huntsville TX 77320-3770 Ph: (936) 689-6544 |
| NPI Number | 1760723381 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760723381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | 27909 (Texas) | Primary |
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