| Scott & White Dental Clinic | |
|
2401 S 31st St Temple TX 76508-0001 | |
| (254) 724-2111 | |
| Not Available |
| Full Name | Scott & White Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2401 S 31st St, Temple, Texas |
| Authorized Official Name and Position | Alice Cantu (ASSOCIATE VICE PRESIDENT, RCO) |
| Authorized Official Contact | 2542159791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott & White Dental Clinic 2401 S 31st St Temple TX 76508-0001 Ph: () - | Scott & White Dental Clinic 2401 S 31st St Temple TX 76508-0001 Ph: (254) 724-2111 |
| NPI Number | 1962468355 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962468355 | NPI | - | NPPES |
| 0021CM | Other | TX | BLUE SHIELD |
| 1266694-05 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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