| White Oak Dentistry | |
|
11620 Hero Way West Ste 140 Leander TX 78641 | |
| (972) 697-5891 | |
| Not Available |
| Full Name | White Oak Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11620 Hero Way West, Leander, Texas |
| Authorized Official Name and Position | Kuntal Patel (MANAGER) |
| Authorized Official Contact | 9726975891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Oak Dentistry 2405 Fallshire Ct Leander TX 78641-3983 Ph: (972) 697-5891 | White Oak Dentistry 11620 Hero Way West Ste 140 Leander TX 78641 Ph: (972) 697-5891 |
| NPI Number | 1750081931 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750081931 | NPI | - | NPPES |
| 1013468529 | Medicaid | TX | |
| 1326499393 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Secondary |
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223P0700X | Dentist - Prosthodontics | () | Secondary |
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