| Pickett Family Dental | |
|
1135 Keller Pkwy Keller TX 76248-3614 | |
| (817) 431-5514 | |
| (817) 431-8048 |
| Full Name | Pickett Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1135 Keller Pkwy, Keller, Texas |
| Authorized Official Name and Position | Tyson Pickett (OWNER) |
| Authorized Official Contact | 8174315514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pickett Family Dental 1135 Keller Pkwy Keller TX 76248-3614 Ph: (817) 431-5514 | Pickett Family Dental 1135 Keller Pkwy Keller TX 76248-3614 Ph: (817) 431-5514 |
| NPI Number | 1205314150 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205314150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 31668 (Texas) | Primary |
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