| Carus Dental Pc | |
|
105 Wildwood Dr Suite 216 Georgetown TX 78633-1343 | |
| (512) 942-6729 | |
| (512) 942-6846 |
| Full Name | Carus Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Wildwood Dr, Georgetown, Texas |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carus Dental Pc 105 Wildwood Dr Suite 216 Georgetown TX 78633-1343 Ph: (512) 942-6729 | Carus Dental Pc 105 Wildwood Dr Suite 216 Georgetown TX 78633-1343 Ph: (512) 942-6729 |
| NPI Number | 1386913283 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386913283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13687 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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