Luling Crossroads PLLC
Organization Active NPI Pediatric Dentistry · Luling, TX
NPI 1992114185 · NPPES record last updated Aug 13, 2014
Key facts
- NPI
- 1992114185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- LULING CROSSROADS PLLC
- Practice address
- 409 E Crockett St
Luling, TX 78648-2601 - Phone
- (830) 875-3521
- Fax
- (830) 875-2212
- NPI assigned
- Aug 13, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tammera Torres
- Title
- Credentialing Specialist
- Phone
- (512) 809-4162
Practitioners 2
-
Malcolm R. Berg, D.M.D.
-
Christine Hervas, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
409 E Crockett St
Luling, TX 78648-2601
Mailing address
409 E Crockett St
Luling, TX 78648-2601
Phone (830) 875-3521
Other names
- Crossroads Dental
Other providers in Luling, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2014. 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.