| Lucid Dental Pa | |
|
2105 Sidney Baker St Ste 200 Kerrville TX 78028-2563 | |
| (210) 899-6730 | |
| (833) 776-0625 |
| Full Name | Lucid Dental Pa |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2105 Sidney Baker St Ste 200, Kerrville, Texas |
| Authorized Official Name and Position | Tiffini Stratton (OWNER) |
| Authorized Official Contact | 2102693195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucid Dental Pa 8435 Wurzbach Rd Ste 302 San Antonio TX 78229-3374 Ph: (210) 899-6730 | Lucid Dental Pa 2105 Sidney Baker St Ste 200 Kerrville TX 78028-2563 Ph: (210) 899-6730 |
| NPI Number | 1811510845 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 04/20/2026 |
| Medicare PECOS PAC ID | 4880927839 |
|---|---|
| Medicare Enrollment ID | O20200702001625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811510845 | NPI | - | NPPES |
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