| Specialty Pediatric Dentistry, Pc | |
|
3313 Ranch Road 620 S Ste 300 Lakeway TX 78738-6871 | |
| (512) 266-7200 | |
| (512) 233-5180 |
| Full Name | Specialty Pediatric Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3313 Ranch Road 620 S Ste 300, Lakeway, Texas |
| Authorized Official Name and Position | Serenthes Fields (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6785992333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Pediatric Dentistry, Pc 1500 S A W Grimes Blvd Ste 190 Round Rock TX 78664-7843 Ph: (512) 266-7200 | Specialty Pediatric Dentistry, Pc 3313 Ranch Road 620 S Ste 300 Lakeway TX 78738-6871 Ph: (512) 266-7200 |
| NPI Number | 1760186811 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760186811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Robert Dalfonso Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Ranch Road 620 S, Suite 300, Lakeway, TX 78734 Phone: 512-402-9399 Fax: 512-402-9499 | |
Merrily M Sandford, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2303 Ranch Road 620 S, Suite 140, Lakeway, TX 78734 Phone: 512-263-8284 | |
King Smiles Ii, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Sendera Bonita, Lakeway, TX 78734 Phone: 512-507-8468 Fax: 512-832-8454 | |
Lakeway Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3315 Rr 620 S, Suite 250, Lakeway, TX 78738 Phone: 512-402-9090 | |
Hudson Bend Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 Rr 620 N Ste 300, Lakeway, TX 78734 Phone: 512-587-7979 | |
King Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Sendera Bonita, Lakeway, TX 78734 Phone: 512-832-6225 Fax: 512-832-8448 | |
Dr Kirsten M Gosney Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2422 Rr 620 South, #a 126, Lakeway, TX 78734 Phone: 512-263-8989 Fax: 512-263-9095 |