DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MOBILE DENTAL MANAGEMENT, LLC

MEDICARE: MOBILE DENTAL MANAGEMENT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12325TX
21223G0001XGeneral Practice Dentistry6593TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346651478
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE DENTAL MANAGEMENT, LLC
Provider Business Mailing Address
First Line : 926 WINDMILL PALM
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-8004
Country : US
Telephone Number : 210-569-2650
Fax Number :
Provider Business Practice Location Address
First Line : 1813 GRANDSTAND DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-4701
Country : US
Telephone Number : 210-569-2650
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : PEGEEN MOIRA KRAMER
Credential : MBA, MED
Telephone Number : 210-569-2650
Provider Enumeration Date : 05/12/2014
Last Update Date : 05/12/2014

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1922073857 — SHELDON P BRAVERMAN MD P A
Practice Location Address:
1100 N MAIN AVE
SAN ANTONIO, TX
78212-4701
Practice Phone: 210-222-2154
Practice Fax: 210-227-6056
1447225388 — THOMAS OMAR OEI MD PA
Practice Location Address:
1100 N MAIN AVE
SAN ANTONIO, TX
78212-4701
Practice Phone: 210-222-2154
Practice Fax: 210-227-6056
1558336412 — STUART A TERRY MD PA
Practice Location Address:
1100 N MAIN AVE
SAN ANTONIO, TX
78212-4701
Practice Phone: 210-222-2154
Practice Fax: 210-227-6056
1184690877 — DR. PHILIP L SMITH OD
Practice Location Address:
1100 N MAIN AVE
SAN ANTONIO, TX
78212-4701
Practice Phone: 210-222-2154
Practice Fax: 210-227-6056
1033186580 — DR. GARY A BORAWSKI OD
Practice Location Address:
1100 N MAIN AVE
SAN ANTONIO, TX
78212-4701
Practice Phone: 210-222-2154
Practice Fax: 210-227-6056

Directions to “MOBILE DENTAL MANAGEMENT, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.