| Pundt Family Dentistry | |
|
421 N 38th St Killeen TX 76543-4153 | |
| (254) 634-0234 | |
| Not Available |
| Full Name | Pundt Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 421 N 38th St, Killeen, Texas |
| Authorized Official Name and Position | Wayne E. Pundt (OWNER) |
| Authorized Official Contact | 2546340234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pundt Family Dentistry 421 N 38th St Killeen TX 76543-4153 Ph: (254) 634-0234 | Pundt Family Dentistry 421 N 38th St Killeen TX 76543-4153 Ph: (254) 634-0234 |
| NPI Number | 1891952891 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891952891 | NPI | - | NPPES |
| 814-402 | Other | TX | UNITED CONCORDIA PROVIDER ID |
| G60415-01 | Other | TX | DELTA DENTAL CHIPS PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10225 (Texas) | Primary |
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