| Icare Dental | |
|
5425 Highway 6 Ste C100 Missouri City TX 77459-4390 | |
| (281) 261-8258 | |
| Not Available |
| Full Name | Icare Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 5425 Highway 6 Ste C100, Missouri City, Texas |
| Authorized Official Name and Position | Cong Peng (DENTIST) |
| Authorized Official Contact | 7816276588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Dental 3010 Leona Ct Pearland TX 77584-8725 Ph: (781) 627-6588 | Icare Dental 5425 Highway 6 Ste C100 Missouri City TX 77459-4390 Ph: (281) 261-8258 |
| NPI Number | 1811622707 |
|---|---|
| Provider Enumeration Date | 07/24/2022 |
| Last Update Date | 07/24/2022 |
| Medicare PECOS PAC ID | 5991170086 |
|---|---|
| Medicare Enrollment ID | O20230403000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811622707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Cong Peng |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750875662 PECOS PAC ID: 6800261991 Enrollment ID: I20230405000730 |
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