| Cedar Smiles Pediatric Dentistry | |
|
13625 Ronald W Reagan Blvd Bldg 8-100 Cedar Park TX 78613-2077 | |
| (512) 236-5111 | |
| (512) 528-5436 |
| Full Name | Cedar Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13625 Ronald W Reagan Blvd Bldg 8-100, Cedar Park, Texas |
| Authorized Official Name and Position | Deepa Naik (OWNER) |
| Authorized Official Contact | 5122365111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Smiles Pediatric Dentistry 13625 Ronald W Reagan Blvd Bldg 8-100 Cedar Park TX 78613-2077 Ph: (512) 236-5111 | Cedar Smiles Pediatric Dentistry 13625 Ronald W Reagan Blvd Bldg 8-100 Cedar Park TX 78613-2077 Ph: (512) 236-5111 |
| NPI Number | 1336719269 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336719269 | NPI | - | NPPES |
| 214313310 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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