| Specialty Dental Management Llc | |
|
5400 Brodie Lane Suite 260 Sunset Valley TX 78745-2525 | |
| (512) 255-5900 | |
| Not Available |
| Full Name | Specialty Dental Management Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5400 Brodie Lane, Sunset Valley, Texas |
| Authorized Official Name and Position | Jim B Usdan (CEO) |
| Authorized Official Contact | 6157273060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Dental Management Llc 1500 S Aw Grimes Blvd Suite 190 Round Rock TX 78664 Ph: (512) 255-5900 | Specialty Dental Management Llc 5400 Brodie Lane Suite 260 Sunset Valley TX 78745-2525 Ph: (512) 255-5900 |
| NPI Number | 1073260451 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073260451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Dental Health Associates Of Texas, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5207 Brodie Ln Ste 195, Sunset Valley, TX 78745 Phone: 512-276-2876 |