Provider Demographics
NPI:1720828577
Name:BELIEVE DENTAL MAC PLLC
Entity type:Organization
Organization Name:BELIEVE DENTAL MAC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNICATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUTTALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-697-7377
Mailing Address - Street 1:14620 HUEBNER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5429
Mailing Address - Country:US
Mailing Address - Phone:210-697-7377
Mailing Address - Fax:210-697-7319
Practice Address - Street 1:5210 THOUSAND OAKS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-6974
Practice Address - Country:US
Practice Address - Phone:210-697-7377
Practice Address - Fax:210-697-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty