| Academy Dental Center | |
|
709 E Main St Little River Academy TX 76554-2605 | |
| (254) 982-4750 | |
| (254) 982-4721 |
| Full Name | Academy Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 709 E Main St, Little River Academy, Texas |
| Authorized Official Name and Position | James W Knott (PRESIDENT) |
| Authorized Official Contact | 2549824750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academy Dental Center Po Box 546 Little River Academy TX 76554-0546 Ph: (254) 982-4750 | Academy Dental Center 709 E Main St Little River Academy TX 76554-2605 Ph: (254) 982-4750 |
| NPI Number | 1558437228 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558437228 | NPI | - | NPPES |
| 0904500-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14945 (Texas) | Primary |
Verbena Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 E Main St, Little River Academy, TX 76554 Phone: 254-982-4750 Fax: 254-982-4750 | |
Academy Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 E Main St, Little River Academy, TX 76554 Phone: 254-982-4750 |