| Tx-scd Dental Pc | |
|
6105 E Highway 191 Odessa TX 79762 | |
| (315) 454-6000 | |
| Not Available |
| Full Name | Tx-scd Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6105 E Highway 191, Odessa, Texas |
| Authorized Official Name and Position | Scott C Dickinson (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tx-scd Dental Pc Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Tx-scd Dental Pc 6105 E Highway 191 Odessa TX 79762 Ph: (315) 454-6000 |
| NPI Number | 1154761138 |
|---|---|
| Provider Enumeration Date | 07/05/2013 |
| Last Update Date | 07/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154761138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28860 (Texas) | Primary |
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