| Tx Southern Dental Ppo Pc | |
|
4189 E Highway 290 Dripping Springs TX 78620-4290 | |
| (512) 858-8202 | |
| Not Available |
| Full Name | Tx Southern Dental Ppo Pc |
|---|---|
| Speciality | Dentist |
| Location | 4189 E Highway 290, Dripping Springs, Texas |
| Authorized Official Name and Position | Christine Nelson (VP, REVENUE CYCLE) |
| Authorized Official Contact | 4694506482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tx Southern Dental Ppo Pc 5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: () - | Tx Southern Dental Ppo Pc 4189 E Highway 290 Dripping Springs TX 78620-4290 Ph: (512) 858-8202 |
| NPI Number | 1063282523 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063282523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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