| Tx Southern Dental Ppo Pc | |
|
611 Rockmead Dr Ste 400 Kingwood TX 77339-2259 | |
| (281) 358-3384 | |
| Not Available |
| Full Name | Tx Southern Dental Ppo Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 611 Rockmead Dr Ste 400, Kingwood, Texas |
| Authorized Official Name and Position | Christine Nelson (VP, REVENUE CYCLE) |
| Authorized Official Contact | 4694506482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tx Southern Dental Ppo Pc 5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: () - | Tx Southern Dental Ppo Pc 611 Rockmead Dr Ste 400 Kingwood TX 77339-2259 Ph: (281) 358-3384 |
| NPI Number | 1104406859 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104406859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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