| Swift Dental Pa | |
|
1700 W Dove Ave Mcallen TX 78504-4463 | |
| (956) 537-9933 | |
| Not Available |
| Full Name | Swift Dental Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 W Dove Ave, Mcallen, Texas |
| Authorized Official Name and Position | Jose Luis Villarreal (PRESIDENT) |
| Authorized Official Contact | 9565379933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swift Dental Pa 1700 W Dove Ave Mcallen TX 78504-4463 Ph: (956) 537-9933 | Swift Dental Pa 1700 W Dove Ave Mcallen TX 78504-4463 Ph: (956) 537-9933 |
| NPI Number | 1578034518 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/06/2021 |
| Medicare PECOS PAC ID | 1850782269 |
|---|---|
| Medicare Enrollment ID | O20211220000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578034518 | NPI | - | NPPES |
| 18068 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Jose Luis Villarreal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669516928 PECOS PAC ID: 8123419546 Enrollment ID: I20211220000663 |
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