| Liberty Hill Dental Pa | |
|
14933 W State Hwy 29 Liberty Hill TX 78642 | |
| (512) 515-0171 | |
| (512) 515-0042 |
| Full Name | Liberty Hill Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 14933 W State Hwy 29, Liberty Hill, Texas |
| Authorized Official Name and Position | Thad H Gillespie (OWNER PRESIDENT) |
| Authorized Official Contact | 5125150171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Hill Dental Pa 14933 W State Hwy 29 Liberty Hill TX 78642 Ph: (512) 515-0171 | Liberty Hill Dental Pa 14933 W State Hwy 29 Liberty Hill TX 78642 Ph: (512) 515-0171 |
| NPI Number | 1184703316 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184703316 | NPI | - | NPPES |
| 81265501 | Other | CHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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