| Lcpdsmiles Pllc | |
|
15320 Highway 105 W Ste 114 Montgomery TX 77356-2602 | |
| (936) 444-4044 | |
| Not Available |
| Full Name | Lcpdsmiles Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15320 Highway 105 W Ste 114, Montgomery, Texas |
| Authorized Official Name and Position | Carl Pittman (MEMBER) |
| Authorized Official Contact | 7137053582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lcpdsmiles Pllc 4542 Spring Stuebner Rd Ste 500 Spring TX 77389-4633 Ph: (713) 705-3582 | Lcpdsmiles Pllc 15320 Highway 105 W Ste 114 Montgomery TX 77356-2602 Ph: (936) 444-4044 |
| NPI Number | 1477287340 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477287340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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