George N/a Telatnyk, D.D.S.
Individual provider Active NPI General Practice Dentistry · Italy, TX
NPI 1477574671 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477574671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9393 (TX)
- Practice address
- 1005 E Highway 34
Italy, TX 76651-3687 - Phone
- (972) 483-1000
- Fax
- (972) 483-1002
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160322000925 | TX | Order and Referring Only - Dentist |
2860799640 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9393 | TX | Yes |
Addresses
Primary practice location
1005 E Highway 34
Italy, TX 76651-3687
Mailing address
1005 E Highway 34
Italy, TX 76651-3687
Phone (972) 483-1000
Other providers in Italy, TX
- MD Pharmacueticals LLC
- Judy Elaine Montgomery
- April Lynn Rosales
- Michael Dwayne Shelby
- Tamar Transport Services LLC
- Trinity Mission of Italy, LLC
- Trinity Nursing and Rehabilitation of Italy, LP
- Wal-Mart Stores Texas LLC
- West Wharton County Hospital District
- Natalie Ann Workman
All providers in Italy, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.