| Steven L. Regan D.d.s., Pllc | |
|
102 S Avenue T Clifton TX 76634-1833 | |
| (254) 675-8301 | |
| (254) 675-6505 |
| Full Name | Steven L. Regan D.d.s., Pllc |
|---|---|
| Speciality | Dentist |
| Location | 102 S Avenue T, Clifton, Texas |
| Authorized Official Name and Position | Steven Lee Regan (MANAGER) |
| Authorized Official Contact | 2546758301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven L. Regan D.d.s., Pllc 1354 Dominion Oaks Dr China Spring TX 76633-3108 Ph: (254) 836-9485 | Steven L. Regan D.d.s., Pllc 102 S Avenue T Clifton TX 76634-1833 Ph: (254) 675-8301 |
| NPI Number | 1770816621 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Medicare PECOS PAC ID | 1557639408 |
|---|---|
| Medicare Enrollment ID | O20170616001705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770816621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Steven L Regan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518980010 PECOS PAC ID: 7315244779 Enrollment ID: I20170616001828 |
Dynamic Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S. Avenue Q, Clifton, TX 76634 Phone: 254-675-3518 Fax: 254-675-1262 |