| Dr Jared C Vandermeyden, DDS | |
|
4301 Garth Rd Ste 302, Baytown, TX 77521-3158 | |
| (832) 548-5000 | |
| Not Available |
| Full Name | Dr Jared C Vandermeyden |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 4301 Garth Rd Ste 302, Baytown, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326483827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62226 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 29276 (Texas) | Primary |
| Entity Name | Legacy Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jared C Vandermeyden, DDS Po Box 66308, Houston, TX 77266-6308 Ph: (832) 548-5000 | Dr Jared C Vandermeyden, DDS 4301 Garth Rd Ste 302, Baytown, TX 77521-3158 Ph: (832) 548-5000 |
Amar Trivedi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8202 Fm 3180 Rd, Baytown, TX 77523 Phone: 281-231-9630 | |
Lena Zia Khan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1250 Garth Rd, Baytown, TX 77520 Phone: 833-353-0206 | |
Mr. Rudy T Garcia, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Park St, Baytown, TX 77520 Phone: 281-427-5170 Fax: 281-422-1551 | |
Dr. Glenwood Burnell Jordan, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 6958 Garth Rd, Baytown, TX 77521 Phone: 281-839-3202 Fax: 281-839-2021 | |
Manish Shanker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7922 Cheyenne Court, Baytown, TX 77521 Phone: 832-661-6267 | |
Conrad Harness, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6331 Garth Rd Ste 100, Baytown, TX 77521 Phone: 281-545-5165 | |
Dr. David R Wooten, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1410 Cedar Bayou Rd, Baytown, TX 77520 Phone: 281-837-9090 Fax: 281-837-9050 |