NPI 1124489935 · live from the CMS NPI Registry
411 Dental PC Dba Harris Creek Dental
Dentist, General Practice in Mc Gregor, TX. National Provider Identifier 1124489935, active.
NPI record
| NPI | 1124489935 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 27487 W Highway 84, Mc Gregor, TX 76657 |
| Practice phone | 254-848-9566 |
| Enumerated | March 8, 2016 |
| Last updated | March 8, 2016 |
| Authorized official | Sam Baber, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 25535 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.