| The Kenedy Dentist, Pllc | |
|
131 Business Park Blvd Ste 600 Kenedy TX 78119-3512 | |
| (972) 838-3772 | |
| Not Available |
| Full Name | The Kenedy Dentist, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 131 Business Park Blvd Ste 600, Kenedy, Texas |
| Authorized Official Name and Position | Maxim Mossman (OWNER) |
| Authorized Official Contact | 9728383772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kenedy Dentist, Pllc Po Box 195487 Dallas TX 75219-8608 Ph: (972) 838-3772 | The Kenedy Dentist, Pllc 131 Business Park Blvd Ste 600 Kenedy TX 78119-3512 Ph: (972) 838-3772 |
| NPI Number | 1417764937 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417764937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dr. Wade Phelps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Liveoak St, Kenedy, TX 78119 Phone: 830-583-9891 | |
Affordable Dentist Of Kenedy, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Business Park Blvd Ste 600, Kenedy, TX 78119 Phone: 806-241-3812 | |
Kenedy Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Business Park Blvd Ste 600, Kenedy, TX 78119 Phone: 972-838-3772 |