| Ikids Pediatric Dentistry Ennis, Pllc | |
|
711 S Clay St Ste A Ennis TX 75119 | |
| (682) 222-1010 | |
| Not Available |
| Full Name | Ikids Pediatric Dentistry Ennis, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 711 S Clay St Ste A, Ennis, Texas |
| Authorized Official Name and Position | Alyssa Aguilar (DIRECTOR OF REVENUE & CREDENTIALING) |
| Authorized Official Contact | 8174668554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikids Pediatric Dentistry Ennis, Pllc 2500 E Broad St Ste 204 Mansfield TX 76063-4361 Ph: (817) 466-8554 | Ikids Pediatric Dentistry Ennis, Pllc 711 S Clay St Ste A Ennis TX 75119 Ph: (682) 222-1010 |
| NPI Number | 1952806085 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952806085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Larry W. Treadaway, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 S Clay St, Ennis, TX 75119 Phone: 972-875-6081 Fax: 972-875-5043 | |
Stephen C. Durbin, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W Ennis Ave, Ennis, TX 75119 Phone: 972-875-9031 Fax: 972-878-9032 | |
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