| Pioneer Dentistry Of Willis, Pllc | |
|
12501 Canyon Falls Blvd Willis TX 77318-5825 | |
| (936) 931-4462 | |
| Not Available |
| Full Name | Pioneer Dentistry Of Willis, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 12501 Canyon Falls Blvd, Willis, Texas |
| Authorized Official Name and Position | Okey Okechukwu (DDS) |
| Authorized Official Contact | 9368563900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Dentistry Of Willis, Pllc 12501 Canyon Falls Blvd Ste F Willis TX 77318-5809 Ph: () - | Pioneer Dentistry Of Willis, Pllc 12501 Canyon Falls Blvd Willis TX 77318-5825 Ph: (936) 931-4462 |
| NPI Number | 1578084406 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 05/11/2022 |
| Medicare PECOS PAC ID | 6800215732 |
|---|---|
| Medicare Enrollment ID | O20200928000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578084406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Okey P Okechukwu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902156490 PECOS PAC ID: 1850602947 Enrollment ID: I20200928000360 |
Network Provider Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12709 Interstate Highway 45 North, Suite #450, Willis, TX 77318 Phone: 936-856-6707 Fax: 216-584-1443 | |
Michael Bailey Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12501 Canyon Falls Blvd, Willis, TX 77318 Phone: 936-931-4462 | |
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Thomas G. Lee, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 West Powell Drive, Willis, TX 77378 Phone: 936-856-4582 Fax: 936-856-7074 | |
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