| Luikham Dental Pllc | |
|
2605 W Mile 5 Rd Ste 1 Mission TX 78574-0968 | |
| (956) 583-1000 | |
| (956) 583-8000 |
| Full Name | Luikham Dental Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2605 W Mile 5 Rd Ste 1, Mission, Texas |
| Authorized Official Name and Position | George T Luikham (OWNER/DENTIST) |
| Authorized Official Contact | 9565831000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luikham Dental Pllc 2605 W Mile 5 Rd Ste 1 Mission TX 78574-0968 Ph: (956) 583-1000 | Luikham Dental Pllc 2605 W Mile 5 Rd Ste 1 Mission TX 78574-0968 Ph: (956) 583-1000 |
| NPI Number | 1295128155 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295128155 | NPI | - | NPPES |
| 294738401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 26420 (Texas) | Primary |
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