| My Local Texas Dental Practice, Pllc | |
|
701 State Park Rd Lockhart TX 78644-4934 | |
| (512) 398-4934 | |
| Not Available |
| Full Name | My Local Texas Dental Practice, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 State Park Rd, Lockhart, Texas |
| Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5093158338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Local Texas Dental Practice, Pllc 701 State Park Rd Lockhart TX 78644-4934 Ph: () - | My Local Texas Dental Practice, Pllc 701 State Park Rd Lockhart TX 78644-4934 Ph: (512) 398-4934 |
| NPI Number | 1689241598 |
|---|---|
| Provider Enumeration Date | 06/09/2021 |
| Last Update Date | 06/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689241598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Gail Gardner Livengood Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 State Park Rd, Lockhart, TX 78644 Phone: 512-398-3429 Fax: 512-398-2233 | |
Lockhart Smile Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Main St, Lockhart, TX 78644 Phone: 512-398-6122 | |