| Sherwood Dental Center PC | |
|
2500 Coulter Rd 101 Amarillo TX 79106 | |
| (806) 358-8561 | |
| (806) 358-3646 |
| Full Name | Sherwood Dental Center PC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2500 Coulter Rd, Amarillo, Texas |
| Authorized Official Name and Position | Lloyd Dean Koen (PRESIDENT SHERWOOD DENTAL CENTAL PC) |
| Authorized Official Contact | 8063588561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherwood Dental Center PC 2500 Coulter Rd 101 Amarillo TX 79106 Ph: (806) 358-8561 | Sherwood Dental Center PC 2500 Coulter Rd 101 Amarillo TX 79106 Ph: (806) 358-8561 |
| NPI Number | 1962685917 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962685917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 10969TX (Texas) | Primary |
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