| Su Ping Mai, DMD | |
|
36000 Darnall Loop, Fort Hood, TX 76544-5095 | |
| (254) 287-2705 | |
| Not Available |
| Full Name | Su Ping Mai |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 36000 Darnall Loop, Fort Hood, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629592456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61517 (Kansas) | Primary |
| 122300000X | Dentist | 101759 (California) | Secondary |
| Entity Name | The Davis Street Community Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215358924 PECOS PAC ID: 6800956079 Enrollment ID: O20141204000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Su Ping Mai, DMD 36000 Darnall Loop, Fort Hood, TX 76544-5095 Ph: (254) 287-2705 | Su Ping Mai, DMD 36000 Darnall Loop, Fort Hood, TX 76544-5095 Ph: (254) 287-2705 |
Daniel Adam Dipirro Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnall Loop, Fort Hood, TX 76544 Phone: 254-287-3105 | |
Don Le Nguyendac, Dentist Medicare: Medicare Enrolled Practice Location: Bldg. 4250 Clear Creek Road, Suite 213, Fort Hood, TX 76544 Phone: 254-285-2014 Fax: 254-285-2182 | |
Dr. Brian Steven Mortenson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 36014 Wratten Ave., Fort Hood, TX 76544 Phone: 254-286-7401 | |
Dr. Nicholas Hanns Stroeters, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnall Loop Ste 1048, Fort Hood, TX 76544 Phone: 254-287-2705 | |
Jason Ly-lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36000 Shoemaker Lane, Us Dental Health Activity Ft Hood. Suite 1051, Fort Hood, TX 76544 Phone: 254-287-3105 | |
Sandra Stephany Urban, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4431 68th St, Fort Hood, TX 76544 Phone: 505-917-5309 | |
Dr. Richard William Andreasen Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnall Loop, Fort Hood, TX 76544 Phone: 254-287-4227 |