| Alpha First Dental Clinic P.a | |
|
5605 Old Bullard Rd Ste A Tyler TX 75703-4306 | |
| (903) 747-3919 | |
| (903) 212-4210 |
| Full Name | Alpha First Dental Clinic P.a |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5605 Old Bullard Rd Ste A, Tyler, Texas |
| Authorized Official Name and Position | Omowumi Akhuini Ihionkhan (DENTIST/DIRECTOR) |
| Authorized Official Contact | 9032429777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha First Dental Clinic P.a 5605 Old Bullard Rd Ste A Tyler TX 75703-4306 Ph: (903) 747-3919 | Alpha First Dental Clinic P.a 5605 Old Bullard Rd Ste A Tyler TX 75703-4306 Ph: (903) 747-3919 |
| NPI Number | 1720325418 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720325418 | NPI | - | NPPES |
| 3140113-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20172 (Texas) | Primary |
Culberson R. Boren, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7916 S Broadway Ave, Ste 150, Tyler, TX 75703 Phone: 903-581-2198 Fax: 903-581-9571 | |
Evershine Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3310 S Southwest Loop 323, Tyler, TX 75701 Phone: 903-593-3333 | |
Kirk Hampton Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 Grande Blvd, Tyler, TX 75703 Phone: 903-266-9118 Fax: 903-266-9126 | |
Kendall Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Rice Road, Suite 100, Tyler, TX 75703 Phone: 903-597-2201 Fax: 903-597-2282 | |
Kim Fretty Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6989 Highlands Ln, Tyler, TX 75703 Phone: 903-561-7873 | |
Pediatric Dentistry Of Tyler, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3607 Old Jacksonville Rd, Tyler, TX 75701 Phone: 903-595-5476 | |
Fresh Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3873 Hwy 64 W, Tyler, TX 75704 Phone: 972-869-3789 |