|
| |
|
611 W Brown St Suite 100 Wylie TX 75098-5387 | |
| (972) 442-2515 | |
| (972) 442-2650 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 611 W Brown St, Wylie, Texas |
| Authorized Official Name and Position | Charles David Stetler (PARTNER) |
| Authorized Official Contact | 9724422515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
611 W Brown St Suite 100 Wylie TX 75098-5387 Ph: (972) 442-2515 | 611 W Brown St Suite 100 Wylie TX 75098-5387 Ph: (972) 442-2515 |
| NPI Number | 1326153321 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326153321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16098 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 18787 (Texas) | Primary |
Smiles Of Wylie Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 N Highway 78 Ste 150, Wylie, TX 75098 Phone: 972-442-6879 | |
Citrus -02 Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 N Highway 78 Ste 150, Wylie, TX 75098 Phone: 972-472-8862 | |
Wylie Dental Group Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Cooper Dr Ste 140, Wylie, TX 75098 Phone: 646-662-3105 | |
Time Pod Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3839 Parker Rd Ste 104, Wylie, TX 75098 Phone: 469-946-9905 Fax: 469-890-2134 |