| W.h. Shuttlesworth D.d.s., Inc. | |
|
4301 Retama Cir Victoria TX 77901-2768 | |
| (361) 578-9031 | |
| (361) 572-3744 |
| Full Name | W.h. Shuttlesworth D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4301 Retama Cir, Victoria, Texas |
| Authorized Official Name and Position | William H. Shuttlesworth (PRESIDENT) |
| Authorized Official Contact | 3615789031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W.h. Shuttlesworth D.d.s., Inc. 4301 Retama Cir Victoria TX 77901-2768 Ph: (361) 578-9031 | W.h. Shuttlesworth D.d.s., Inc. 4301 Retama Cir Victoria TX 77901-2768 Ph: (361) 578-9031 |
| NPI Number | 1972819654 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 08/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972819654 | NPI | - | NPPES |
| 090248802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 11133 (Texas) | Primary |
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