| Northeast Texas Community College Dental Hygiene Clinic | |
|
2886 Fm 1735, Chapel Hill Road Mt. Pleasant TX 75455 | |
| (903) 434-8350 | |
| (903) 434-4424 |
| Full Name | Northeast Texas Community College Dental Hygiene Clinic |
|---|---|
| Speciality | Dental Hygienist |
| Location | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, Texas |
| Authorized Official Name and Position | Deborah Jo Johnson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9034348352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Texas Community College Dental Hygiene Clinic Po Box 1307 Mt Pleasant TX 75456-9991 Ph: (903) 434-8350 | Northeast Texas Community College Dental Hygiene Clinic 2886 Fm 1735, Chapel Hill Road Mt. Pleasant TX 75455 Ph: (903) 434-8350 |
| NPI Number | 1407277239 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 12/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407277239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Primary |