| |
2750 W Main St Ste D League City TX 77573-1830 | |
(281) 554-9090 | |
(281) 554-6394 |
Full Name | |
---|---|
Speciality | Dentist |
Location | 2750 W Main St Ste D, League City, Texas |
Authorized Official Name and Position | Jay Edward Elliott (OWNER) |
Authorized Official Contact | 8323385396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2750 W Main St Ste D League City TX 77573-1830 Ph: (281) 554-9090 | 2750 W Main St Ste D League City TX 77573-1830 Ph: (281) 554-9090 |
NPI Number | 1811473804 |
---|---|
Provider Enumeration Date | 07/13/2018 |
Last Update Date | 07/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811473804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12723 (Texas) | Primary |
Blessed Dental Specialists Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 E League City Pkwy Ste 500, League City, TX 77573 Phone: 346-358-3592 | |
Ideal Dental Of League City Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2875 E League City Pkwy, Suite 800, League City, TX 77573 Phone: 832-905-0210 | |
Clear Creek Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 N Wesley Dr, League City, TX 77573 Phone: 281-332-8545 |