| Southern Dental Associates - Sugar Land | |
|
12800 Fountain Lake Cir Stafford TX 77477-3756 | |
| (281) 277-1609 | |
| (281) 277-1236 |
| Full Name | Southern Dental Associates - Sugar Land |
|---|---|
| Speciality | Dentist |
| Location | 12800 Fountain Lake Cir, Stafford, Texas |
| Authorized Official Name and Position | David D. Lewis (PRESIDENT) |
| Authorized Official Contact | 7136817920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Associates - Sugar Land 2500 Central Pkwy Suite P Houston TX 77092-7733 Ph: (713) 681-7920 | Southern Dental Associates - Sugar Land 12800 Fountain Lake Cir Stafford TX 77477-3756 Ph: (281) 277-1609 |
| NPI Number | 1972517787 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972517787 | NPI | - | NPPES |
| 136359005 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9517 (Texas) | Primary |
Subtle Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4915 S. Main St, #107, Stafford, TX 77477 Phone: 281-491-3626 Fax: 281-491-3629 | |
Texas Little Teeth Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12412 S Kirkwood Rd, Stafford, TX 77477 Phone: 832-899-4995 | |
Donald G Gardner Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4915 S Main St, Suite 118, Stafford, TX 77477 Phone: 281-491-4545 Fax: 281-491-7134 | |
An White, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3607 S Main St # 107, Stafford, TX 77477 Phone: 832-930-7847 Fax: 281-969-8032 | |
Rodeo Dental And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11753 W Bellfort St Ste 114, Stafford, TX 77477 Phone: 817-529-8151 Fax: 817-928-1681 | |
Q Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 Dulles Ave, Suite F, Stafford, TX 77477 Phone: 281-261-0575 Fax: 281-261-2698 | |
Southern Dental At Sugarland Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 Fountain Lake Cir, Stafford, TX 77477 Phone: 678-756-5921 |