| Lucid Dental, P.a. | |
|
155 W Sunset Rd San Antonio TX 78209-2632 | |
| (210) 899-6730 | |
| (833) 898-4924 |
| Full Name | Lucid Dental, P.a. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 155 W Sunset Rd, San Antonio, Texas |
| Authorized Official Name and Position | Tiffini Stratton (OWNER) |
| Authorized Official Contact | 2108996730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucid Dental, P.a. 155 W Sunset Rd San Antonio TX 78209-2632 Ph: (210) 899-6730 | Lucid Dental, P.a. 155 W Sunset Rd San Antonio TX 78209-2632 Ph: (210) 899-6730 |
| NPI Number | 1811219637 |
|---|---|
| Provider Enumeration Date | 02/21/2010 |
| Last Update Date | 12/28/2023 |
| Medicare PECOS PAC ID | 4880927839 |
|---|---|
| Medicare Enrollment ID | O20190606002642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811219637 | NPI | - | NPPES |
| Provider Name | Tiffini C Stratton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710163209 PECOS PAC ID: 7911248729 Enrollment ID: I20190606002861 |
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