| Cedar Park Periodontics, Pc | |
| 
					209 Denali Pass Suite A Cedar Park TX 78613  | |
| (512) 528-1400 | |
| (512) 528-1466 | 
| Full Name | Cedar Park Periodontics, Pc | 
|---|---|
| Speciality | Dentist - Periodontics | 
| Location | 209 Denali Pass, Cedar Park, Texas | 
| Authorized Official Name and Position | David Roy Reeves (PRESIDENT) | 
| Authorized Official Contact | 5125281400 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cedar Park Periodontics, Pc 209 Denali Pass Suite A Cedar Park TX 78613 Ph: (512) 528-1400  | Cedar Park Periodontics, Pc 209 Denali Pass Suite A Cedar Park TX 78613 Ph: (512) 528-1400  | 
| NPI Number | 1295939759 | 
|---|---|
| Provider Enumeration Date | 06/11/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295939759 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 21653 (Texas) | Primary | 
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