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NPI Code Detail

MEDICARE: THOUSAND OAKS CHILDREN'S DENTISTRY, P.A.

MEDICARE: THOUSAND OAKS CHILDREN'S DENTISTRY, P.A.
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
11223P0221XPediatric Dentistry18666TX

General Provider Information

NPI Number : 1447473277
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOUSAND OAKS CHILDREN'S DENTISTRY, P.A.
Provider Business Mailing Address
First Line : 2235 THOUSAND OAKS DR
Second Line : SUITE 122
City : SAN ANTONIO
State : TX
Zip : 78232-3966
Country : US
Telephone Number : 210-490-1133
Fax Number : 210-490-6028
Provider Business Practice Location Address
First Line : 2235 THOUSAND OAKS DR
Second Line : SUITE 122
City : SAN ANTONIO
State : TX
Zip : 78232-3966
Country : US
Telephone Number : 210-490-1133
Fax Number : 210-490-6028
Authorized Official
Title or Position : PEDIATRIC DENTIST
Name : DR. JAMES MICHAEL DOOSE
Credential : D.D.S.
Telephone Number : 210-490-1133
Provider Enumeration Date : 04/10/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
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1275646275 — DR. JAMES MICHAEL DOOSE DDS
Practice Location Address:
2235 THOUSAND OAKS DR , SUITE 122
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1730255050 — DR. JAMES MANNING LACKEY MD
Practice Location Address:
2235 THOUSAND OAKS DR , SUITE #117
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78232-3966
Practice Phone: 210-490-1000
Practice Fax: 210-496-3590
1205982220 — JOY ANNE NELSON RODRIGUEZ M.D.
Practice Location Address:
2235 THOUSAND OAKS DR , SUITE 117
SAN ANTONIO, TX
78232-3966
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Practice Fax: 210-496-3590
1811019177 — E R CHIROPRACTIC PC
Practice Location Address:
2235 THOUSAND OAKS , SUITE 111
SAN ANTONIO, TX
78232-3966
Practice Phone: 210-490-3555
Practice Fax: 210-490-3577
1003035528 — ROBERT A RAPOSO P.A.
Practice Location Address:
2235 THOUSAND OAKS DR , SUITE 117
SAN ANTONIO, TX
78232-3966
Practice Phone: 210-490-1000
Practice Fax: 210-490-3806

Directions to “THOUSAND OAKS CHILDREN'S DENTISTRY, P.A. ” Practice Location

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