| Groesbeck Dentist Pllc | |
|
902 W Yeagua St Groesbeck TX 76642-3526 | |
| (254) 729-8400 | |
| (254) 729-8407 |
| Full Name | Groesbeck Dentist Pllc |
|---|---|
| Speciality | Dentist |
| Location | 902 W Yeagua St, Groesbeck, Texas |
| Authorized Official Name and Position | Michael Stevens (PRESIDENT) |
| Authorized Official Contact | 2547298400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groesbeck Dentist Pllc 902 W Yeagua St Groesbeck TX 76642-3526 Ph: (254) 729-8400 | Groesbeck Dentist Pllc 902 W Yeagua St Groesbeck TX 76642-3526 Ph: (254) 729-8400 |
| NPI Number | 1326420779 |
|---|---|
| Provider Enumeration Date | 06/22/2015 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326420779 | NPI | - | NPPES |
| 2924334-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22841 (Texas) | Primary |
Tru Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 E Yeagua St, Groesbeck, TX 76642 Phone: 254-729-3818 Fax: 254-729-3198 | |
Groesbeck Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 W Yeagua St, Groesbeck, TX 76642 Phone: 254-729-8400 | |
16:3 Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 E Yeagua St, Groesbeck, TX 76642 Phone: 254-255-4071 |