| Jcl Dental Pllc | |
|
300 Olive St Smithville TX 78957-1437 | |
| (512) 237-4420 | |
| Not Available |
| Full Name | Jcl Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 Olive St, Smithville, Texas |
| Authorized Official Name and Position | Cinthia Fernandez (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 9403997106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcl Dental Pllc 300 Olive St Smithville TX 78957-1437 Ph: (512) 237-4420 | Jcl Dental Pllc 300 Olive St Smithville TX 78957-1437 Ph: (512) 237-4420 |
| NPI Number | 1659085488 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659085488 | NPI | - | NPPES |
| 3413981-03 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Carus Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Ne 9th St, Smithville, TX 78957 Phone: 512-237-2448 Fax: 512-237-2543 |