| Dr Shalini Mittal, DDS | |
|
1468 E Whitestone Blvd Ste 500, Cedar Park, TX 78613-0019 | |
| (612) 584-7767 | |
| Not Available |
| Full Name | Dr Shalini Mittal |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 1468 E Whitestone Blvd Ste 500, Cedar Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104302124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14131 (Minnesota) | Secondary |
| 122300000X | Dentist | 38304 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | DEN1001884 (District Of Columbia) | Secondary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shalini Mittal, DDS 2618 Kramer Ln Apt 5091, Austin, TX 78758-0073 Ph: (612) 584-7767 | Dr Shalini Mittal, DDS 1468 E Whitestone Blvd Ste 500, Cedar Park, TX 78613-0019 Ph: (612) 584-7767 |
Nicholas Charles Oster, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12171 W Parmer Ln Ste 101, Cedar Park, TX 78613 Phone: 831-332-9660 Fax: 512-528-8903 | |
Priscilla Wong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Bell Blvd Ste 102, Cedar Park, TX 78613 Phone: 512-462-3232 | |
Dr. George A. Turner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1903 Cypress Creek Rd Ste 104, Cedar Park, TX 78613 Phone: 512-258-8381 Fax: 512-401-2580 | |
Jarrod D Campbell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11901 W Parmer Ln Ste 100, Cedar Park, TX 78613 Phone: 512-259-9400 | |
Dr. Deanna Michelle Dean, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 401 E. Whitestone Blvd., Ste. C 105, Cedar Park, TX 78613 Phone: 512-260-3777 | |
Dr. Shirley Holly Williams, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12920 W Parmer Ln, Suite 101, Cedar Park, TX 78613 Phone: 512-410-7774 | |
Dr. Tarek Sirage, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12160 W Parmer Ln Ste 110, Cedar Park, TX 78613 Phone: 512-866-3184 |