| Fall Creek Dental Pa | |
|
5600 N Gate Rd Suite 103 Granbury TX 76049-3120 | |
| (817) 326-5717 | |
| (817) 326-5714 |
| Full Name | Fall Creek Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 5600 N Gate Rd, Granbury, Texas |
| Authorized Official Name and Position | Katrina Ladawn Mcfadden (OWNER/DENTIST) |
| Authorized Official Contact | 8173265717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall Creek Dental Pa 5600 N Gate Rd Suite 103 Granbury TX 76049-3120 Ph: (817) 326-5717 | Fall Creek Dental Pa 5600 N Gate Rd Suite 103 Granbury TX 76049-3120 Ph: (817) 326-5717 |
| NPI Number | 1649544966 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649544966 | NPI | - | NPPES |
| 009483101 | Medicaid | TX | |
| B19566 | Other | TX | DELTA DENTAL CHIPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19566 (Texas) | Primary |
Jason A Berry Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 James Road, Ste #100, Granbury, TX 76049 Phone: 817-326-4098 Fax: 817-326-4470 | |
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Affordable Dentures & Implants - Texas, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1151 E Hwy 377 Ste 101, Granbury, TX 76048 Phone: 817-578-3178 | |
Braces On The Brazos Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1116 N Meadows Dr, Granbury, TX 76048 Phone: 817-573-4746 | |
Heartland Dental Care Of Tx, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9205 Plantation Blvd Ste 105, Granbury, TX 76049 Phone: 817-579-1114 Fax: 817-573-9090 | |
Mitchell Walker Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 708b Paluxy Road, Granbury, TX 76048 Phone: 817-573-2622 Fax: 817-579-0142 | |
M Dental Granbury, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Pearl St, Granbury, TX 76048 Phone: 817-275-4817 |