| Sam Bass Family Dentistry Pllc | |
|
2000 Sam Bass Rd Ste 108 Round Rock TX 78681-2001 | |
| (512) 341-3200 | |
| Not Available |
| Full Name | Sam Bass Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2000 Sam Bass Rd Ste 108, Round Rock, Texas |
| Authorized Official Name and Position | Rupa Govindarajan (OWNER) |
| Authorized Official Contact | 9514542716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Bass Family Dentistry Pllc 2000 Sam Bass Rd Ste 108 Round Rock TX 78681-2001 Ph: (512) 341-3200 | Sam Bass Family Dentistry Pllc 2000 Sam Bass Rd Ste 108 Round Rock TX 78681-2001 Ph: (512) 341-3200 |
| NPI Number | 1063809820 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063809820 | NPI | - | NPPES |
| 12455101016 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Texas) | Primary |
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