| Tooth Scootin' Boogie | |
|
584 State Highway 16 S Bandera TX 78003-3808 | |
| (830) 796-3548 | |
| Not Available |
| Full Name | Tooth Scootin' Boogie |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 584 State Highway 16 S, Bandera, Texas |
| Authorized Official Name and Position | Randi Mellon (DENTIST) |
| Authorized Official Contact | 8307963548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Scootin' Boogie Po Box 3612 Bandera TX 78003-6611 Ph: () - | Tooth Scootin' Boogie 584 State Highway 16 S Bandera TX 78003-3808 Ph: (830) 796-3548 |
| NPI Number | 1336852144 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336852144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Lonestar Sleep Solutions, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 13th St, Bandera, TX 78003 Phone: 210-884-9688 | |
Ted Sako Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 607a Main Street, Bandera, TX 78003 Phone: 830-796-4888 |