Piney Woods Endodontics Pllc | |
7925 S Broadway Ave Ste 1130 Tyler TX 75703-5227 | |
(713) 851-7936 | |
Not Available |
Full Name | Piney Woods Endodontics Pllc |
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Speciality | Dentist - Endodontics |
Location | 7925 S Broadway Ave Ste 1130, Tyler, Texas |
Authorized Official Name and Position | Bryan Allgeier (OWNER/ENDODONTIST) |
Authorized Official Contact | 7138517936 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Piney Woods Endodontics Pllc 467 Woodmark Dr Longview TX 75605-6883 Ph: () - | Piney Woods Endodontics Pllc 7925 S Broadway Ave Ste 1130 Tyler TX 75703-5227 Ph: (713) 851-7936 |
NPI Number | 1811483696 |
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Provider Enumeration Date | 07/05/2018 |
Last Update Date | 07/05/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811483696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 31114 (Texas) | Primary |
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