Organization Name: | HILL COUNTRY PEDIATRIC DENTISTRY |
NPI Number: | 1609289644 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMMERA TORRES (CREDENTIALING SPECIALIST) |
Mailing Address: | 12225 Fm 2244 Rd Ste 100 Bee Cave |
State: | TX US |
Postal Code: | 787385310 |
Phone Number: | 5122637455 |
Fax Number: | 5122637460 |
NPI Enumeration Date: | 06/06/2014 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |