Main St Dental PLLC

Organization Active NPI General Practice Dentistry · Alton, TX

NPI 1164089645 · NPPES record last updated May 21, 2019

Key facts

NPI
1164089645
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
MAIN ST DENTAL PLLC
Practice address
921 E Main Ave Ste 2
Alton, TX 78573-1606
Phone
(956) 583-5050
Fax
(956) 583-5067
NPI assigned
May 21, 2019
Organization subpart
No

Authorized official

Name
Patrick Whilby, DDS
Title
Owner/Dentist
Phone
(956) 583-5050

National Provider Directory

Locations

921 E Main Ave
Ste 2
Alton, TX 78573
Phone (956) 583-5050

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

921 E Main Ave Ste 2
Alton, TX 78573-1606

Mailing address

921 E Main Ave Ste 2
Alton, TX 78573-1606
Phone (956) 583-5050

Other providers in Alton, TX

All providers in Alton, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.