| Tlc Dental, Pllc | |
| 
					4701 183a Toll Rd Ste A400 Cedar Park TX 78613-0123  | |
| (512) 593-7998 | |
| (512) 717-3396 | 
| Full Name | Tlc Dental, Pllc | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 4701 183a Toll Rd Ste A400, Cedar Park, Texas | 
| Authorized Official Name and Position | Daniel Crandall Johnson (OWNER/PEDIATRIC DENTIST) | 
| Authorized Official Contact | 5125937998 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tlc Dental, Pllc 4701 183a Toll Rd Ste A400 Cedar Park TX 78613-0123 Ph: (512) 593-7998  | Tlc Dental, Pllc 4701 183a Toll Rd Ste A400 Cedar Park TX 78613-0123 Ph: (512) 593-7998  | 
| NPI Number | 1285443705 | 
|---|---|
| Provider Enumeration Date | 12/31/2024 | 
| Last Update Date | 12/31/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285443705 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary | 
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