| Stockdale Dental Excellence | |
|
3567 State Highway 123 N Stockdale TX 78160-6244 | |
| (830) 996-3635 | |
| (830) 996-3696 |
| Full Name | Stockdale Dental Excellence |
|---|---|
| Speciality | Dentist |
| Location | 3567 State Highway 123 N, Stockdale, Texas |
| Authorized Official Name and Position | Rebecca Gabriel (DENTIST/OWNER) |
| Authorized Official Contact | 8309963635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockdale Dental Excellence 3567 State Highway 123 N Stockdale TX 78160-6244 Ph: (830) 996-3635 | Stockdale Dental Excellence 3567 State Highway 123 N Stockdale TX 78160-6244 Ph: (830) 996-3635 |
| NPI Number | 1497048029 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497048029 | NPI | - | NPPES |
| 165753801 | Medicaid | TX | |
| 1982752622 | Other | TX | NPI (INDIVIDUAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21531 (Texas) | Primary |