Texas Dental Specialist Practice, Pllc

NPI #1245955962 in Sealy, Texas

Provider Information

NPI Number
1245955962
Entity Type
Organization
Organization Name
Texas Dental Specialist Practice, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
-
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 5, 2022
Last Updated
Oct 5, 2022

Practice Location

Address
226 4TH ST
City
Sealy
State
Texas
ZIP Code
77474-2726
Phone
(719) 266-2717

Authorized Official

Name
SILAS CHARLES ERICKSON
Title
CREDENTIALING SPECIALIST
Phone
(720) 353-4903

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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