| Periodontal Center Of Excellence | |
|
3 Grogans Park Drive Suite 103 Spring TX 77380 | |
| (281) 292-1833 | |
| (281) 292-2125 |
| Full Name | Periodontal Center Of Excellence |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3 Grogans Park Drive, Spring, Texas |
| Authorized Official Name and Position | Katie S Perkins (OFFICE MANAGER) |
| Authorized Official Contact | 2812921833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Center Of Excellence 3 Grogans Park Drive Suite 103 Spring TX 77380 Ph: (281) 292-1833 | Periodontal Center Of Excellence 3 Grogans Park Drive Suite 103 Spring TX 77380 Ph: (281) 292-1833 |
| NPI Number | 1740343839 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740343839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 10872 (Texas) | Primary |
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