| Dental Care of North Manor | |
|
11930 Us Highway 290 E Unit 110 Manor TX 78653-3254 | |
| (512) 402-5595 | |
| (512) 402-5578 |
| Full Name | Dental Care of North Manor |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11930 Us Highway 290 E, Manor, Texas |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care of North Manor 11930 Us Highway 290 E Unit 110 Manor TX 78653-3254 | Dental Care of North Manor 11930 Us Highway 290 E Unit 110 Manor TX 78653-3254 Ph: (512) 402-5595 |
| NPI Number | 1417834086 |
|---|---|
| Provider Enumeration Date | 08/18/2025 |
| Last Update Date | 08/18/2025 |
| Certification Date | 08/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417834086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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