| Enable Dental | |
|
7214 Executive Pkwy House Springs MO 63051-2981 | |
| (512) 861-1337 | |
| (866) 815-3719 |
| Full Name | Enable Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7214 Executive Pkwy, House Springs, Missouri |
| Authorized Official Name and Position | Benjamin Tiggelaar (AUTHORIZED AGENT) |
| Authorized Official Contact | 5129804648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enable Dental 5555 N Lamar Blvd Ste H125 Austin TX 78751 Ph: (512) 861-1337 | Enable Dental 7214 Executive Pkwy House Springs MO 63051-2981 Ph: (512) 861-1337 |
| NPI Number | 1780358622 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780358622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bruce H. Collignon D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7214 Executive Pkwy, House Springs, MO 63051 Phone: 636-671-0102 Fax: 636-671-1575 | |
Ryan W. Klohr, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Gravois Sta, House Springs, MO 63051 Phone: 636-671-0110 Fax: 636-671-0332 |