Stockdale Dental Excellence | |
3567 State Highway 123 N Stockdale TX 78160-6244 | |
(830) 996-3635 | |
(830) 996-3696 |
Full Name | Stockdale Dental Excellence |
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Speciality | Dentist |
Location | 3567 State Highway 123 N, Stockdale, Texas |
Authorized Official Name and Position | Rebecca Gabriel (DENTIST/OWNER) |
Authorized Official Contact | 8309963635 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stockdale Dental Excellence 3567 State Highway 123 N Stockdale TX 78160-6244 Ph: (830) 996-3635 | Stockdale Dental Excellence 3567 State Highway 123 N Stockdale TX 78160-6244 Ph: (830) 996-3635 |
NPI Number | 1497048029 |
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Provider Enumeration Date | 05/16/2011 |
Last Update Date | 05/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497048029 | NPI | - | NPPES |
165753801 | Medicaid | TX | |
1982752622 | Other | TX | NPI (INDIVIDUAL) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 21531 (Texas) | Primary |