| Montgomery Park Dental | |
|
2016 N Loop 336 W Conroe TX 77304-3516 | |
| (936) 756-6867 | |
| Not Available |
| Full Name | Montgomery Park Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 2016 N Loop 336 W, Conroe, Texas |
| Authorized Official Name and Position | Carolyn L. Jovanovic (DENTIST) |
| Authorized Official Contact | 9367566867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Park Dental 2016 N Loop 336 W Conroe TX 77304-3516 Ph: () - | Montgomery Park Dental 2016 N Loop 336 W Conroe TX 77304-3516 Ph: (936) 756-6867 |
| NPI Number | 1487239455 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 08/18/2023 |
| Medicare PECOS PAC ID | 7810344462 |
|---|---|
| Medicare Enrollment ID | O20231103002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487239455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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