| Wharton Dental, Inc | |
|
1802 N Richmond Rd Wharton TX 77488-2715 | |
| (979) 532-1920 | |
| (979) 532-0630 |
| Full Name | Wharton Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1802 N Richmond Rd, Wharton, Texas |
| Authorized Official Name and Position | Phil Tiet (PRESIDENT) |
| Authorized Official Contact | 9795321920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wharton Dental, Inc 1802 N Richmond Rd Wharton TX 77488-2715 Ph: (979) 532-1920 | Wharton Dental, Inc 1802 N Richmond Rd Wharton TX 77488-2715 Ph: (979) 532-1920 |
| NPI Number | 1437336971 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437336971 | NPI | - | NPPES |
| 1477513869 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17052 (Texas) | Primary |
Boehm Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N Fulton St, Wharton, TX 77488 Phone: 979-532-4400 |