| Oral Surgery Associates Of North Texas, Pc | |
|
618 N Highway 67 Cedar Hill TX 75104-2139 | |
| (972) 291-0297 | |
| Not Available |
| Full Name | Oral Surgery Associates Of North Texas, Pc |
|---|---|
| Speciality | Dentist |
| Location | 618 N Highway 67, Cedar Hill, Texas |
| Authorized Official Name and Position | Danielle Johnston (CREDENTIALING) |
| Authorized Official Contact | 5124476685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates Of North Texas, Pc 618 N Highway 67 Cedar Hill TX 75104-2139 Ph: (972) 291-0297 | Oral Surgery Associates Of North Texas, Pc 618 N Highway 67 Cedar Hill TX 75104-2139 Ph: (972) 291-0297 |
| NPI Number | 1790898179 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/11/2020 |
| Medicare PECOS PAC ID | 2961545363 |
|---|---|
| Medicare Enrollment ID | O20100208000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790898179 | NPI | - | NPPES |
| 0082927701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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