Philip Damico, DDS
Individual provider Active NPI General Practice Dentistry · Pleasanton, TX
NPI 1831571579 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1831571579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 37016 (TX)
- Practice address
- 714 W Goodwin St
Pleasanton, TX 78064-4018 - Phone
- (830) 569-4746
- NPI assigned
- Jun 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37016 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atascosa Dental PLLC | Dentist | Current |
Accepting new patients |
| My Hometown Dentist at Leon Springs | Dentist | Past |
Accepting new patients |
Locations
714 W Goodwin St
Pleasanton, TX 78064
Phone (512) 808-9114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37016 | TX | Yes |
Addresses
Primary practice location
714 W Goodwin St
Pleasanton, TX 78064-4018
Mailing address
714 W Goodwin St
Pleasanton, TX 78064-4018
Phone (830) 569-4746
Other providers in Pleasanton, TX
- Heather A Conn
- Brandi Christine Conway
- Elizabeth Ann Cordero
- Laura L Crafton
- Mason Lee Cullum
- Millicent Reynolds Davidson
- Maria Raquel Del Prado De Vera
- Mariana G Deanda
- Joseph Arthur Dominguez III
- Amanda Dority
All providers in Pleasanton, 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 Nov 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.