Tomas Alicea
Individual provider Active NPI General Practice Dentistry · Cedar Park, TX
NPI 1932259249 · NPPES record last updated Apr 2, 2008
Key facts
- NPI
- 1932259249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 23205 (TX)
- Practice address
- 401 E Whitestone Blvd
Cedar Park, TX 78613-9051 - Phone
- (512) 260-3777
- Fax
- (512) 260-1238
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 23205 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Dental Center PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23205 | TX | Yes |
Addresses
Primary practice location
401 E Whitestone Blvd
Cedar Park, TX 78613-9051
Mailing address
PO Box 201982
Austin, TX 78720-1982
Phone (512) 997-8614
Other providers in Cedar Park, TX
- Hannah Kathryn Alexander
- Jessi Alexander
- Aqsa Ali
- Hina N Ali
- Mushreq Ali
- Align&Shine Orthodontics PLLC
- Alkesh C. Sura, DDS PA
- Patrick J Allen
- Peyton Allen
- Alliance Community Care, LLC
All providers in Cedar Park, 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 Apr 2, 2008. 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.