# SISTER CREEK DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821545989
- **Authorized official:** AMANDA ADAMITZ (OFFICE MANAGER)
- **Authorized official phone:** (830) 391-8200

## Contact information

- **Practice address:** 1605 US HIGHWAY 181S, FLORESVILLE, TX 78114
- **Practice address phone:** (830) 391-8200
- **Practice address fax:** (830) 391-8201
- **Mailing address:** 1605 S. HWY 181, FLORESVILLE, TX 78114
- **Mailing address phone:** (830) 391-8200
- **Mailing address fax:** (830) 391-8201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 29845 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 31728 | TX | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016