| Gonzales Dental Pllc | |
|
1600 N Sarah Dewitt Dr Ste 206 Gonzales TX 78629-2714 | |
| (830) 339-2007 | |
| (830) 203-5242 |
| Full Name | Gonzales Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 N Sarah Dewitt Dr Ste 206, Gonzales, Texas |
| Authorized Official Name and Position | Brianna Barrow (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8178094860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzales Dental Pllc 2401 E Randol Mill Rd Ste 520 Arlington TX 76011-6380 Ph: (817) 809-4860 | Gonzales Dental Pllc 1600 N Sarah Dewitt Dr Ste 206 Gonzales TX 78629-2714 Ph: (830) 339-2007 |
| NPI Number | 1205571361 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205571361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Family Dentistry Of Gonzales Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Saint Louis St, Gonzales, TX 78629 Phone: 830-672-8664 | |
Children's Dentistry Of Gonzales Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 N Sarah Dewitt Dr, Gonzales, TX 78629 Phone: 512-268-4400 Fax: 512-268-4402 |