| Phillip D Kothmann Dds Ms Inc | |
|
4337 College Hills Blvd San Angelo TX 76904 | |
| (325) 942-9673 | |
| (325) 942-0369 |
| Full Name | Phillip D Kothmann Dds Ms Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4337 College Hills Blvd, San Angelo, Texas |
| Authorized Official Name and Position | Phillip Dwight Kothmann (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 3259429673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip D Kothmann Dds Ms Inc 4337 College Hills Blvd San Angelo TX 76904 Ph: (325) 942-9673 | Phillip D Kothmann Dds Ms Inc 4337 College Hills Blvd San Angelo TX 76904 Ph: (325) 942-9673 |
| NPI Number | 1447366323 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447366323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11462 (Texas) | Primary |
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