| Homegrown Pediatric Dentistry, Pllc | |
|
20808 Hwy 71 Suite C Spacewood TX 78669 | |
| (805) 490-3036 | |
| Not Available |
| Full Name | Homegrown Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 20808 Hwy 71, Spacewood, Texas |
| Authorized Official Name and Position | Sarah Marie Carpenter (OWNER/DENTIST) |
| Authorized Official Contact | 8054903036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homegrown Pediatric Dentistry, Pllc 20808 Hwy 71 Suite C Spacewood TX 78669 Ph: () - | Homegrown Pediatric Dentistry, Pllc 20808 Hwy 71 Suite C Spacewood TX 78669 Ph: (805) 490-3036 |
| NPI Number | 1588372080 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588372080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |