| Castle Family Dental | |
|
3210 Richmond Rd Texarkana TX 75503-0702 | |
| (903) 832-3146 | |
| (903) 838-2579 |
| Full Name | Castle Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3210 Richmond Rd, Texarkana, Texas |
| Authorized Official Name and Position | Jay Jeffery Castle (OWNER) |
| Authorized Official Contact | 9038244321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Family Dental 3210 Richmond Rd Texarkana TX 75503-0702 Ph: (903) 832-3146 | Castle Family Dental 3210 Richmond Rd Texarkana TX 75503-0702 Ph: (903) 832-3146 |
| NPI Number | 1659858736 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659858736 | NPI | - | NPPES |
| 1508396037 | Other | NPI | |
| 1194868513 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 33979 (Texas) | Primary |
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