MEDICARE: AMARILLO DENTAL ASSOCIATES

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
1	1223G0001X	General Practice Dentistry	21834	TX
2	122300000X	Dentist	21834	TX
3	122300000X	Dentist	10364	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1578606901	OTHER	TX	RYAN STREET DDS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1710020177	OTHER	TX	MICHAEL VACLAV DDS

General Provider Information

NPI Number	:	1356517650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMARILLO DENTAL ASSOCIATES

Provider Business Mailing Address
First Line	:	4525 VAN WINKLE
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79119
Country	:	US
Telephone Number	:	806-355-7463
Fax Number	:	806-355-6014

Provider Business Practice Location Address
First Line	:	4525 VAN WINKLE
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79119
Country	:	US
Telephone Number	:	806-355-7463
Fax Number	:	806-355-6014

Authorized Official
Title or Position	:	PARTNER
Name	:	MICHAEL D VACLAV
Credential	:	DDS
Telephone Number	:	806-355-7463

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	05/26/2011

Similar Medicare Providers

1982302055 — MRS. NIYA TABOR DDS
Practice Location Address:

7649 HILLSIDE RD STE 100
AMARILLO, TX
79119-8382

Practice Phone: 806-354-2700
Practice Fax:

1508721705 — SICHER ORTHODONTICS
Practice Location Address:

8600 PATRIOT DR STE 100
AMARILLO, TX
79119-0123

Practice Phone: 806-674-3883
Practice Fax:

1275367393 — ANDREA LEIGH STONE FNP-C
Practice Location Address:

8601 HILLSIDE RD
AMARILLO, TX
79119-8032

Practice Phone: 806-350-6805
Practice Fax: 806-350-6806

1306849088 — DANIEL JOSEPH MERKI M.D.
Practice Location Address:

3501 S SONCY RD STE 150
AMARILLO, TX
79119-6426

Practice Phone: 806-212-6353
Practice Fax: 806-212-0558

1902803976 — EDWARD MICHAEL MCCARTHY MD
Practice Location Address:

4512 VAN WINKLE DR
AMARILLO, TX
79119

Practice Phone: 806-358-1497
Practice Fax: 806-358-1375

1770581464 — REBECCA A. MCCARTHY MD
Practice Location Address:

4512 VAN WINKLE DR
AMARILLO, TX
79119

Practice Phone: 806-358-1497
Practice Fax: 806-358-1375

1124027479 — DR. MAJOR ELLIOTT BLAIR JR. MD
Practice Location Address:

3501 S SONCY RD STE 104
AMARILLO, TX
79119-6405

Practice Phone: 806-398-3627
Practice Fax: 806-351-7801

Directions to “AMARILLO DENTAL ASSOCIATES ” 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 © 2007-2026 (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.