Roger R Throndson, DDS | |
301 University Blvd, Galveston, TX 77555-5302 | |
(409) 772-0817 | |
(409) 772-0885 |
Full Name | Roger R Throndson |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 45 Years |
Location | 301 University Blvd, Galveston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457444143 | NPI | - | NPPES |
111228602 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 17375 (Texas) | Primary |
122300000X | Dentist | 17375 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Texas Medical Branch Galveston | Galveston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Texas Medical Branch Faculty Group Practice | 3375456734 | 883 |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
---|---|
Roger R Throndson, DDS 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 747-0890 | Roger R Throndson, DDS 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-0817 |
Dr. Kevin Black, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 2501 65th St Ste A, Galveston, TX 77551 Phone: 409-744-4551 Fax: 409-744-5702 | |
Shashank Godbole, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6610 Seawall Blvd., Galveston, TX 77551 Phone: 817-451-4740 | |
Dr. Patricia Anne Lanier, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2501 65th Street, Galveston, TX 77551 Phone: 409-744-4551 Fax: 409-744-5702 | |
Dr. Jon Goodwin Carman, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 23rd St, Galveston, TX 77550 Phone: 409-765-6023 Fax: 409-770-0313 | |
Henry Brick Pomeroy Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5201 Avenue S, Galveston, TX 77551 Phone: 409-762-8884 Fax: 409-740-3038 | |
Dr. William Lloyd Glenn Iii, Dentist Medicare: Medicare Enrolled Practice Location: 2601 Broadway St, Galveston, TX 77550 Phone: 409-765-5538 Fax: 409-765-6753 | |
Dr. Chris Ryan Thompson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Oral And Maxillofacial Surgery, Galveston, TX 77555 Phone: 832-492-9205 |