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. |
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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 |
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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 |
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Provider Enumeration Date | 06/03/2014 |
Last Update Date | 10/27/2022 |
Medicare PECOS PAC ID | 2961620323 |
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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 |
Kyle Meason Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 Phone: 817-341-7825 | |