| Familia Dental | |
|
161 Creekside Way Ste. 102 New Braunfels TX 78130-6391 | |
| (830) 632-6369 | |
| (830) 632-5778 |
| Full Name | Familia Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 161 Creekside Way, New Braunfels, Texas |
| Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING & PAYER RELATIONS MAN) |
| Authorized Official Contact | 8474537396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental 2050 East Algonquin Road Suite 610 Schaumburg IL 60173-4166 Ph: (847) 453-7396 | Familia Dental 161 Creekside Way Ste. 102 New Braunfels TX 78130-6391 Ph: (830) 632-6369 |
| NPI Number | 1134448350 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134448350 | NPI | - | NPPES |
| 2054611-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22535 (Texas) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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