| Sky Creek Dental | |
|
123 Keller Pkwy Ste 100 Keller TX 76248-2255 | |
| (817) 431-4200 | |
| Not Available |
| Full Name | Sky Creek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 123 Keller Pkwy Ste 100, Keller, Texas |
| Authorized Official Name and Position | Brent Cornelius (OWNER) |
| Authorized Official Contact | 8174314200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sky Creek Dental 123 Keller Pkwy Ste 100 Keller TX 76248-2255 Ph: (817) 431-4200 | Sky Creek Dental 123 Keller Pkwy Ste 100 Keller TX 76248-2255 Ph: (817) 431-4200 |
| NPI Number | 1881346211 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881346211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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