| Sedadent Anesthesia Services | |
|
1608 Oak Forest Dr Round Rock TX 78681-1513 | |
| (512) 909-3171 | |
| (512) 246-3678 |
| Full Name | Sedadent Anesthesia Services |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 1608 Oak Forest Dr, Round Rock, Texas |
| Authorized Official Name and Position | Jarom Cooper Heaton (OWNER) |
| Authorized Official Contact | 5129408601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedadent Anesthesia Services 1608 Oak Forest Dr Round Rock TX 78681-1513 Ph: (512) 909-3171 | Sedadent Anesthesia Services 1608 Oak Forest Dr Round Rock TX 78681-1513 Ph: (512) 909-3171 |
| NPI Number | 1144597931 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144597931 | NPI | - | NPPES |
| 1949372 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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