| Shiner Dental, Pllc | |
|
821 N Ave D Shiner TX 77984-0556 | |
| (361) 594-2800 | |
| (361) 594-4109 |
| Full Name | Shiner Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 821 N Ave D, Shiner, Texas |
| Authorized Official Name and Position | Melanie S Cowan (DENTIST/OWNER) |
| Authorized Official Contact | 3615942800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiner Dental, Pllc Po Box 556 821 N Ave D Shiner TX 77984-0556 Ph: (361) 594-2800 | Shiner Dental, Pllc 821 N Ave D Shiner TX 77984-0556 Ph: (361) 594-2800 |
| NPI Number | 1912219007 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912219007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22987 (Texas) | Primary |