is a Pediatric Dental Clinic in Live Oak, Texas. It is located at 8056 Shin Oak Dr Ste 200, Live Oak, TX and its contact number is 210-441-3360. The authorized person for is Jerame Hafen
who is Owner of the clinic and their contact number is 210-845-8831. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Pediatric Dentistry
Clinic Address:
8056 Shin Oak Dr Ste 200, Live Oak, Texas, 78233-2957
Phone:
210-441-3360
Fax:
210-441-3387
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jerame Hafen
Position:
Owner
Contact Number:
210-845-8831
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1932813219
NPI Enumeration Date:
10 Jan, 2023
NPI Last Update On:
27 Jan, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NONE
Other
None
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8056 Shin Oak Dr Ste 200, Live Oak, Texas
Zip:
78233-2957
Phone Number:
210-441-3360
Fax Number:
210-441-3387
Patients can reach at 8056 Shin Oak Dr Ste 200, Live Oak, Texas or can call to book an appointment on 210-441-3360. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.