| Van Alstyne Family Dentistry Pllc | |
|
217 E Jefferson St Van Alstyne TX 75495-3420 | |
| (903) 482-6339 | |
| (903) 385-7255 |
| Full Name | Van Alstyne Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 217 E Jefferson St, Van Alstyne, Texas |
| Authorized Official Name and Position | Brenda Brock (OPERATIONS MANAGER) |
| Authorized Official Contact | 9032686542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Alstyne Family Dentistry Pllc 217 E Jefferson St Van Alstyne TX 75495-3420 Ph: (903) 482-6339 | Van Alstyne Family Dentistry Pllc 217 E Jefferson St Van Alstyne TX 75495-3420 Ph: (903) 482-6339 |
| NPI Number | 1174053680 |
|---|---|
| Provider Enumeration Date | 06/16/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174053680 | NPI | - | NPPES |
| 363943701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 38855 (Texas) | Primary |