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NPI Code Detail

MEDICARE: METROPOLITAN DENTAL ASSOCIATES PA

MEDICARE: METROPOLITAN DENTAL ASSOCIATES 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
11223G0001XGeneral Practice Dentistry6636TX

General Provider Information

NPI Number : 1972727519
Entity Type Code : Organization
Provider Name (Legal Business Name) : METROPOLITAN DENTAL ASSOCIATES PA
Provider Business Mailing Address
First Line : 2315 SOUTHWEST FWY
Second Line : SUITE #200
City : HOUSTON
State : TX
Zip : 77098-4700
Country : US
Telephone Number : 713-523-2328
Fax Number : 713-528-5542
Provider Business Practice Location Address
First Line : 2315 SOUTHWEST FWY
Second Line : SUITE #200
City : HOUSTON
State : TX
Zip : 77098-4700
Country : US
Telephone Number : 713-523-2328
Fax Number : 713-528-5542
Authorized Official
Title or Position : OWNER
Name : DR. CHARLES M BLUM
Credential : DDS
Telephone Number : 713-523-2328
Provider Enumeration Date : 04/13/2007
Last Update Date : 08/22/2020

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Directions to “METROPOLITAN DENTAL ASSOCIATES PA ” Practice Location

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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.