MEDICARE: TWIN CITY DENTAL, PA

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	16871	TX

General Provider Information

NPI Number	:	1558587741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWIN CITY DENTAL, PA

Provider Business Mailing Address
First Line	:	3707 N TWIN CITY HWY.
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-2116
Country	:	US
Telephone Number	:	409-962-9391
Fax Number	:	409-962-3932

Provider Business Practice Location Address
First Line	:	3707 N TWIN CITY HWY
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-2116
Country	:	US
Telephone Number	:	409-962-9391
Fax Number	:	409-962-3932

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BARRY J ROBERTSON
Credential	:	DDS
Telephone Number	:	409-962-9391

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1891884235 — DR. GREGORY THOMAS KUNZ DDS
Practice Location Address:

3707 N. TWIN CITY HWY.
PORT ARTHUR, TX
77642-2116

Practice Phone: 409-962-9391
Practice Fax: 409-962-3932

1407858517 — DR. CARL PETER PALMBLAD DDS
Practice Location Address:

14 N COUNTRY RD
PORT JEFFERSON, NY
11777-2116

Practice Phone: 631-473-0052
Practice Fax: 631-474-9066

1265573653 — MS. ELIZABETH TOBACK LMHC
Practice Location Address:

392 SE CALMOSO DR
PORT ST LUCIE, FL
34983-2116

Practice Phone: 772-333-9371
Practice Fax: 772-464-0087

1184890576 — MRS. ANALIA NANCY PARROTTA PT
Practice Location Address:

342 SE CALMOSO DR
PORT SAINT LUCIE, FL
34983-2116

Practice Phone: 772-621-8910
Practice Fax: 772-621-8921

1932102597 — WALTER UMPHREY CANCER CENTER OF SOUTHEAST TEXAS
Practice Location Address:

4600 9TH AVE
PORT ARTHUR, TX
77642-5817

Practice Phone: 409-982-9312
Practice Fax: 409-982-5126

1629070750 — TRACIE DALENE UPDIKE M.D.
Practice Location Address:

2933 PARK PLAZA LN
PORT ARTHUR, TX
77642-5516

Practice Phone: 409-983-1899
Practice Fax: 409-983-5225

Directions to “TWIN CITY DENTAL, PA ” 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.