| Weatherford Cosmetic And Family Dentistry, P.c. | |
|
114 W Columbia St Weatherford TX 76086-4312 | |
| (817) 594-3806 | |
| (817) 596-5001 |
| Full Name | Weatherford Cosmetic And Family Dentistry, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 W Columbia St, Weatherford, Texas |
| Authorized Official Name and Position | Deborah Romack (OWNER) |
| Authorized Official Contact | 8175943806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weatherford Cosmetic And Family Dentistry, P.c. 114 W Columbia St Weatherford TX 76086-4312 Ph: (817) 594-3806 | Weatherford Cosmetic And Family Dentistry, P.c. 114 W Columbia St Weatherford TX 76086-4312 Ph: (817) 594-3806 |
| NPI Number | 1578976064 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 10/27/2022 |
| Medicare PECOS PAC ID | 2961620323 |
|---|---|
| Medicare Enrollment ID | O20140826002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578976064 | NPI | - | NPPES |
| 7167150001 | Other | TX | DME PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Texas) | Secondary |
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