|
| |
|
115 Fm 2453 Suite B Royse City TX 75189 | |
| (469) 981-0352 | |
| (469) 981-0358 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 Fm 2453 Suite B, Royse City, Texas |
| Authorized Official Name and Position | Deepa Reddy Gaddam (OWNER) |
| Authorized Official Contact | 9083070346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
115 Fm 2453 Suite B Royse City TX 75189 Ph: (469) 981-0352 | 115 Fm 2453 Suite B Royse City TX 75189 Ph: (469) 981-0352 |
| NPI Number | 1669148862 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669148862 | NPI | - | NPPES |
| 1945883 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Royse City Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 554 W Interstate 30, Royse City, TX 75189 Phone: 469-387-6853 | |
Dental Family Circle - Royse City Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 S Erby Campbell Blvd, Royse City, TX 75189 Phone: 972-635-3747 | |
Pleasure Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 S Erby Campbell Blvd, Royse City, TX 75189 Phone: 347-844-3862 Fax: 469-518-4796 | |