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1602 E Starr Ave Suite 203 Nacogdoches TX 75961-4312 | |
| (936) 559-7200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1602 E Starr Ave, Nacogdoches, Texas |
| Authorized Official Name and Position | Jennfier Criss (PRESIDENT) |
| Authorized Official Contact | 9365597200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1602 E Starr Ave Suite 203 Nacogdoches TX 75961-4312 Ph: (936) 559-7200 | 1602 E Starr Ave Suite 203 Nacogdoches TX 75961-4312 Ph: (936) 559-7200 |
| NPI Number | 1407234248 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407234248 | NPI | - | NPPES |
| 16283102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21417 (Texas) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 21417 (Texas) | Primary |
Sandhu Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4909 North St Ste 210, Nacogdoches, TX 75965 Phone: 936-560-3380 Fax: 936-560-3394 | |
Apex Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4610 North St, Ste 101, Nacogdoches, TX 75965 Phone: 617-281-7947 | |
Sarkar Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4909 North St Ste 210, Nacogdoches, TX 75965 Phone: 682-583-5042 | |
Troy Simmons, Dds, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 North St Ste 5, Nacogdoches, TX 75965 Phone: 936-560-2275 | |
Blake G. Sinclair, Dds Ii, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 North St, Nacogdoches, TX 75965 Phone: 936-560-2275 Fax: 936-560-2270 |