| Etx Dental Pllc | |
|
601 N Walnut St Jefferson TX 75657-1851 | |
| (903) 665-3914 | |
| Not Available |
| Full Name | Etx Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 601 N Walnut St, Jefferson, Texas |
| Authorized Official Name and Position | Cody Giesler (OWNER) |
| Authorized Official Contact | 9037969051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etx Dental Pllc 1 Bayou Dr Atlanta TX 75551-3402 Ph: (903) 796-9051 | Etx Dental Pllc 601 N Walnut St Jefferson TX 75657-1851 Ph: (903) 665-3914 |
| NPI Number | 1417729245 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417729245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Kent Thigpen, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Walnut St, Jefferson, TX 75657 Phone: 903-665-3914 Fax: 903-665-3921 |