| Millcreek Periodontics & Dental Implants | |
|
8418 Old Mcgregor Rd Waco TX 76712 | |
| (254) 754-1456 | |
| (254) 754-0907 |
| Full Name | Millcreek Periodontics & Dental Implants |
|---|---|
| Speciality | Dentist |
| Location | 8418 Old Mcgregor Rd, Waco, Texas |
| Authorized Official Name and Position | Charles Thomas Adamo (PRESIDENT) |
| Authorized Official Contact | 2547541456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millcreek Periodontics & Dental Implants Po Box 1429 Hewitt TX 76643-1429 Ph: (254) 754-1456 | Millcreek Periodontics & Dental Implants 8418 Old Mcgregor Rd Waco TX 76712 Ph: (254) 754-1456 |
| NPI Number | 1386747988 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386747988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1158857 (Texas) | Primary |
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