| 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 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952806085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Secondary |
Camelot Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 W Ennis Ave, Ennis, TX 75119 Phone: 916-897-6682 |
Ennis Smiles PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Ennis Ave, Ennis, TX 75119 Phone: 972-875-2501 |
Family Smiles of Ennis PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Ennis Ave, Ennis, TX 75119 Phone: 617-281-7947 |
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 |
Grill Repair, PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 E Ennis Ave, Ennis, TX 75119 Phone: 817-897-6006 |