| Sds-bill Owens Pkwy Pllc | |
|
2840 Bill Owens Pkwy Ste B Longview TX 75605-2150 | |
| (903) 759-2261 | |
| Not Available |
| Full Name | Sds-bill Owens Pkwy Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2840 Bill Owens Pkwy Ste B, Longview, Texas |
| Authorized Official Name and Position | Samuel Christopher Mack (MANAGER) |
| Authorized Official Contact | 9032364050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sds-bill Owens Pkwy Pllc 2840 Bill Owens Pkwy Ste B Longview TX 75605-2150 Ph: (903) 759-2261 | Sds-bill Owens Pkwy Pllc 2840 Bill Owens Pkwy Ste B Longview TX 75605-2150 Ph: (903) 759-2261 |
| NPI Number | 1801301643 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 12/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801301643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 32168 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 13770 (Texas) | Primary |
Pediatric Dental Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Doctor Cir, Longview, TX 75605 Phone: 903-758-6406 Fax: 903-758-8116 | |
Mack And Hansen Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Judson Rd, Longview, TX 75601 Phone: 903-212-7737 Fax: 903-212-7745 | |
Longview Family And Emergancy Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2840 Bill Owens Pkwy Ste B, Longview, TX 75605 Phone: 704-582-2272 | |
Ultra Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3006 H G Mosley Pkwy, Longview, TX 75605 Phone: 903-753-2151 Fax: 903-753-0884 | |
Travis L Kendall Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 Forest Sq Ste E, Longview, TX 75605 Phone: 903-758-5551 Fax: 903-758-5877 | |
East Tx Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2414 Gilmer Rd, Longview, TX 75604 Phone: 903-242-8594 Fax: 903-282-1405 | |
Sanders Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2703 Gilmer Rd, Longview, TX 75604 Phone: 903-759-2902 Fax: 903-759-4747 |