| Port Lavaca Dentistry Pllc | |
|
1606 N Virginia St Port Lavaca TX 77979 | |
| (361) 552-5800 | |
| (888) 276-1646 |
| Full Name | Port Lavaca Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1606 N Virginia St, Port Lavaca, Texas |
| Authorized Official Name and Position | Paola Lopez (PAYER ENROLLMENT TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Lavaca Dentistry Pllc Attn: Credentialing 2403 Lacy Lane Carrollton TX 75006 Ph: (972) 869-3789 | Port Lavaca Dentistry Pllc 1606 N Virginia St Port Lavaca TX 77979 Ph: (361) 552-5800 |
| NPI Number | 1881005296 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 12/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881005296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27025 (Texas) | Primary |
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