| Restore Dental Pllc | |
|
3108 W State Highway 22 Corsicana TX 75110-2435 | |
| (903) 257-8815 | |
| (903) 900-4184 |
| Full Name | Restore Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3108 W State Highway 22, Corsicana, Texas |
| Authorized Official Name and Position | Mahesh B. Gondi (PRESIDENT) |
| Authorized Official Contact | 9032578815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Dental Pllc 3108 W State Highway 22 Corsicana TX 75110-2435 Ph: (903) 257-8815 | Restore Dental Pllc 3108 W State Highway 22 Corsicana TX 75110-2435 Ph: (903) 257-8815 |
| NPI Number | 1104215367 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 01/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104215367 | NPI | - | NPPES |
| 1306909080 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22213 (Texas) | Secondary |
| 261QD0000X | Clinic/center - Dental | 22213 (Texas) | Primary |
Network Provider Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 W State Highway 22, Corsicana, TX 75110 Phone: 903-872-2448 | |
Corsicana Childrens Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 W 7th Ave, Suite D, Corsicana, TX 75110 Phone: 903-847-5437 Fax: 972-499-1040 | |
1661 W 2nd Corsicana Services, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 W 2nd Ave, Corsicana, TX 75110 Phone: 903-872-1661 | |
1661 W 2nd Corsicana Professional, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 W 2nd Ave, Corsicana, TX 75110 Phone: 903-872-1661 | |
Navarro Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 W 2nd Ave, Corsicana, TX 75110 Phone: 214-293-1097 Fax: 903-872-5961 | |
Justin Wright, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 W 2nd Ave, Corsicana, TX 75110 Phone: 903-872-8422 Fax: 903-872-4669 |