| Carus Dental - Georgetown University | |
|
950 W University Ave Ste 101 Georgetown TX 78626-6505 | |
| (512) 930-5930 | |
| (512) 869-0276 |
| Full Name | Carus Dental - Georgetown University |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 950 W University Ave Ste 101, Georgetown, Texas |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carus Dental - Georgetown University 950 W University Ave Ste 101 Georgetown TX 78626-6505 Ph: (512) 930-5930 | Carus Dental - Georgetown University 950 W University Ave Ste 101 Georgetown TX 78626-6505 Ph: (512) 930-5930 |
| NPI Number | 1558441204 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558441204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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