| The Light Family Dental And Implant Dentistry Pllc | |
|
8214 Fm-78 Suite 105 Converse TX 78109 | |
| (210) 920-4963 | |
| (210) 783-8656 |
| Full Name | The Light Family Dental And Implant Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 8214 Fm-78, Converse, Texas |
| Authorized Official Name and Position | Andrew Akindutire (DMD) |
| Authorized Official Contact | 3017955013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Light Family Dental And Implant Dentistry Pllc 8214 Fm-78 Suite 105 Converse TX 78109 Ph: (210) 920-4963 | The Light Family Dental And Implant Dentistry Pllc 8214 Fm-78 Suite 105 Converse TX 78109 Ph: (210) 920-4963 |
| NPI Number | 1912617929 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 6800268517 |
|---|---|
| Medicare Enrollment ID | O20230206003043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912617929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Andrew Akindutire |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104470368 PECOS PAC ID: 7618349325 Enrollment ID: I20230206003089 |
Under The Sea Children's Dentistry, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8340 Fm 78, Suite #8, Converse, TX 78109 Phone: 210-314-1830 Fax: 210-314-1830 | |
Autumn Heights Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7215 N. Loop 1604 E., Unit 102, Converse, TX 78109 Phone: 210-890-4909 Fax: 210-890-4809 | |
Kitty Hawk Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7875 Kitty Hawk Rd Suit 102, Converse, TX 78109 Phone: 210-830-7464 Fax: 210-830-7465 | |
Akshar Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8250 Fm 78 Ste 101, Converse, TX 78109 Phone: 551-580-2016 | |
Converse Family Cosmetic & Implant Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9160 Fm 78 Ste 1b, Converse, TX 78109 Phone: 210-607-5566 | |
Lonestar Braces Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9163 Fm 78 Ste 1, Converse, TX 78109 Phone: 210-971-8989 | |
Kashi Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9163 Fm 78, Suite # 1, Converse, TX 78109 Phone: 617-412-0792 |