| Texas Dental Specialist Practice, Pllc | |
|
226 4th St Sealy TX 77474-2726 | |
| (719) 266-2717 | |
| (719) 213-2311 |
| Full Name | Texas Dental Specialist Practice, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 226 4th St, Sealy, Texas |
| Authorized Official Name and Position | Silas Charles Erickson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7203534903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Dental Specialist Practice, Pllc 6110 Barnes Rd Colorado Springs CO 80922-2600 Ph: (719) 266-2717 | Texas Dental Specialist Practice, Pllc 226 4th St Sealy TX 77474-2726 Ph: (719) 266-2717 |
| NPI Number | 1245955962 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245955962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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