| Longbranch Dental Center | |
|
4250 Joe Ramsey Blvd Greenville TX 75401 | |
| (903) 455-4161 | |
| (903) 455-7510 |
| Full Name | Longbranch Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 4250 Joe Ramsey Blvd, Greenville, Texas |
| Authorized Official Name and Position | Ronald D Weaks (PRESIDENT OWNER) |
| Authorized Official Contact | 9034554161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longbranch Dental Center 4250 Joe Ramsey Blvd Greenville TX 75401 Ph: (903) 455-4161 | Longbranch Dental Center 4250 Joe Ramsey Blvd Greenville TX 75401 Ph: (903) 455-4161 |
| NPI Number | 1073679080 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073679080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9643 (Texas) | Primary |
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