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Organization
HUTTO PREMIER DENTISTRY PA
Active
Organization
HUTTO PREMIER DENTISTRY PA
Active
Other names
Hutto Premier Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FOWLER MCENTIRE FGAD (DENTIST)
(512) 846-2646
Entity
Organization
Contact information
Practice address
60 CHRIS KELLEY BLVD, HUTTO, TX 78634-5298
(512) 846-2646
(512) 846-1169
Mailing address
123 ED SCHMIDT BLVD, 100, HUTTO, TX 78634-5585
(512) 846-2646
(512) 846-1258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22799
TX
Other
Enumeration date
10/02/2012
Last updated
04/01/2025
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