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NPI Code Detail

MEDICARE: DENTAL SPECIALTY OF SAGINAW

MEDICARE: DENTAL SPECIALTY OF SAGINAW
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
11223P0106XOral and Maxillofacial Pathology Dentistry16535TX
21223E0200XEndodontics20905TX

General Provider Information

NPI Number : 1437289733
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL SPECIALTY OF SAGINAW
Provider Business Mailing Address
First Line : 701 W BAILEY BOSWELL RD
Second Line :
City : SAGINAW
State : TX
Zip : 76179-1007
Country : US
Telephone Number : 817-367-6453
Fax Number :
Provider Business Practice Location Address
First Line : 701 W BAILEY BOSWELL RD
Second Line :
City : SAGINAW
State : TX
Zip : 76179-1007
Country : US
Telephone Number : 817-367-6453
Fax Number :
Authorized Official
Title or Position : INSURANCE REP
Name : CHRISTIANA ARREDONDO
Credential :
Telephone Number : 817-367-6453
Provider Enumeration Date : 03/06/2007
Last Update Date : 08/05/2008

Similar Medicare Providers

1639246911 — NAZIA H HAQUE DDS
Practice Location Address:
701 W BAILEY BOSWELL RD , SUITE A
SAGINAW, TX
76179-1007
Practice Phone: 817-367-6453
Practice Fax: 817-847-1194
1477692762 — BALLARD FAMILY DENTISTRY, PA
Practice Location Address:
701 W BAILEY BOSWELL RD
SAGINAW, TX
76179-1007
Practice Phone: 817-367-6453
Practice Fax:
1861759268 — SCOTT L BALLARD DMD
Practice Location Address:
701 W BAILEY BOSWELL RD
SAGINAW, TX
76179-1007
Practice Phone: 817-367-6453
Practice Fax: 817-847-1194
1083160980 — ALLEN RIDDICK WILLIAMS D.D.S.
Practice Location Address:
701 W BAILEY BOSWELL RD
SAGINAW, TX
76179-1007
Practice Phone: 817-367-6453
Practice Fax:
1487170726 — DR. KYLE PELLETIER DMD
Practice Location Address:
701 W BAILEY BOSWELL RD
SAGINAW, TX
76179-1007
Practice Phone: 817-367-6453
Practice Fax:
1629647524 — MATTHEW CROSS DDS
Practice Location Address:
701 W BAILEY BOSWELL RD
SAGINAW, TX
76179-1007
Practice Phone: 817-367-6453
Practice Fax:

Directions to “DENTAL SPECIALTY OF SAGINAW ” Practice Location

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