|
| |
|
9201 Sienna Ranch Rd Ste 102 Missouri City TX 77459-7098 | |
| (281) 778-5330 | |
| (281) 778-5350 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9201 Sienna Ranch Rd Ste 102, Missouri City, Texas |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9201 Sienna Ranch Rd Ste 102 Missouri City TX 77459-7098 Ph: (281) 778-5330 | 9201 Sienna Ranch Rd Ste 102 Missouri City TX 77459-7098 Ph: (281) 778-5330 |
| NPI Number | 1639303233 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639303233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Southwest Center For Oral And Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5819 Highway 6, Suite #350, Missouri City, TX 77459 Phone: 281-933-9950 Fax: 281-933-9953 | |
Dental Health Associates Of Texas, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9303 Highway 6 Ste 300, Missouri City, TX 77459 Phone: 281-969-7388 | |
Lexington Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Lexington Blvd., Missouri City, TX 77459 Phone: 281-208-2016 Fax: 281-261-5091 | |