| Red Butte Dental Llc | |
|
581 Pan American Dr Ste 6 Harker Heights TX 76548-1960 | |
| (254) 699-3225 | |
| (254) 699-4647 |
| Full Name | Red Butte Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 581 Pan American Dr Ste 6, Harker Heights, Texas |
| Authorized Official Name and Position | Lyndsay Smith (PRACTICE MANAGER) |
| Authorized Official Contact | 2546993225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Butte Dental Llc 581 Pan American Dr Ste 6 Harker Heights TX 76548-1960 Ph: (254) 699-3225 | Red Butte Dental Llc 581 Pan American Dr Ste 6 Harker Heights TX 76548-1960 Ph: (254) 699-3225 |
| NPI Number | 1255192902 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255192902 | NPI | - | NPPES |
| 1619546173 | Other | TX | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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