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 |
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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 |
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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 |
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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 | 13770 (Texas) | Primary |
1223G0001X | Dentist - General Practice | 32168 (Texas) | Secondary |
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 | |
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 | |
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 | |