| Shahid Dental Group, Pllc | |
|
607 Ray Jacobs Ave Omaha TX 75571-4142 | |
| (903) 884-2321 | |
| Not Available |
| Full Name | Shahid Dental Group, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 607 Ray Jacobs Ave, Omaha, Texas |
| Authorized Official Name and Position | Benjamin E Tuinei (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6027506897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahid Dental Group, Pllc 607 Ray Jacobs Ave Omaha TX 75571-4142 Ph: (903) 884-2321 | Shahid Dental Group, Pllc 607 Ray Jacobs Ave Omaha TX 75571-4142 Ph: (903) 884-2321 |
| NPI Number | 1346830874 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346830874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |