| Mayfield Ranch Dental | |
|
3100 Fm 1431 Ste 500 Round Rock TX 78681-1158 | |
| (512) 956-5656 | |
| (512) 649-5454 |
| Full Name | Mayfield Ranch Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3100 Fm 1431 Ste 500, Round Rock, Texas |
| Authorized Official Name and Position | Srinivas Durshanapalli (PRESIDENT) |
| Authorized Official Contact | 2032154687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfield Ranch Dental 4300 Cromwell Dr Apt 3211 Kyle TX 78640-6496 Ph: (989) 423-4811 | Mayfield Ranch Dental 3100 Fm 1431 Ste 500 Round Rock TX 78681-1158 Ph: (512) 956-5656 |
| NPI Number | 1417639766 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417639766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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