Provider Type Icon

SAINT APOLLONIA MEDICAID DENTAL CLINIC OF TEXAS PA NPI 1447427422


NPI Information

NPI: 1447427422
Provider Name: SAINT APOLLONIA MEDICAID DENTAL CLINIC OF TEXAS, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1108 N MECHANIC ST
EL CAMPO, TX
ZIP 77437
Phone: (979) 541-5400
Get Directions

SAINT APOLLONIA MEDICAID DENTAL CLINIC OF TEXAS, PA is a general practice dentist in El Campo, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SAINT APOLLONIA MEDICAID DENTAL CLINIC OF TEXAS, PA NPI is 1447427422. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1108 N MECHANIC ST
EL CAMPO, TX
ZIP 77437-030
Phone: (979) 541-5400
Fax: (979) 541-5462

The provider's authorized official is Ross Wyatt Anderson .
The authorized official title is President and has the following contact phone number (979) 541-5400.

The enumeration date for this NPI number is 5/9/2008 and was last updated on 5/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice20250TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.