| Bellmead Kid's Dentistry | |
|
3200 Bellmead Dr Bellmead TX 76705-3077 | |
| (254) 799-4000 | |
| Not Available |
| Full Name | Bellmead Kid's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3200 Bellmead Dr, Bellmead, Texas |
| Authorized Official Name and Position | Amanda Saiz (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2543381468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellmead Kid's Dentistry 3200 Bellmead Dr Bellmead TX 76705-3077 | Bellmead Kid's Dentistry 3200 Bellmead Dr Bellmead TX 76705-3077 Ph: (254) 799-4000 |
| NPI Number | 1073043501 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 12/16/2019 |
| Certification Date | 12/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073043501 | NPI | - | NPPES |
| 372888302 | Medicaid | TX | |
| 372888301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Texas) | Primary |
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