| Excite Dental | |
|
1701 Shaver St Ste 100 Pasadena TX 77502-2027 | |
| (713) 589-1888 | |
| (713) 589-1998 |
| Full Name | Excite Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1701 Shaver St Ste 100, Pasadena, Texas |
| Authorized Official Name and Position | David Jonathan Chang (PRESIDENT) |
| Authorized Official Contact | 8324650346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excite Dental 1701 Shaver St Ste 100 Pasadena TX 77502-2027 Ph: (713) 589-1888 | Excite Dental 1701 Shaver St Ste 100 Pasadena TX 77502-2027 Ph: (713) 589-1888 |
| NPI Number | 1851486740 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851486740 | NPI | - | NPPES |
| 1580433-04 | Medicaid | TX | |
| 1580433-06 | Medicaid | TX | |
| B2133701 | Other | TX | DELTA DENTAL CHIPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21337 (Texas) | Primary |
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