| Carothers Family Dental, Pa | |
|
310 Stagecoach Trail Suite 700 San Marcos TX 78666 | |
| (512) 396-4288 | |
| (512) 396-4379 |
| Full Name | Carothers Family Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Stagecoach Trail, San Marcos, Texas |
| Authorized Official Name and Position | Joseph C Sullivan (PRESIDENT) |
| Authorized Official Contact | 5123964288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carothers Family Dental, Pa 310 Stagecoach Trl Suite 700 San Marcos TX 78666-5134 Ph: (512) 396-4288 | Carothers Family Dental, Pa 310 Stagecoach Trail Suite 700 San Marcos TX 78666 Ph: (512) 396-4288 |
| NPI Number | 1215088877 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215088877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10995 (Texas) | Primary |
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