Provider Demographics
NPI:1811056112
Name:CARE PLUS DENTAL ASSOCIATES
Entity type:Organization
Organization Name:CARE PLUS DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:KRUGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:979-774-1255
Mailing Address - Street 1:3201 UNIVERSITY DR E
Mailing Address - Street 2:SUITE 170
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802
Mailing Address - Country:US
Mailing Address - Phone:979-774-1255
Mailing Address - Fax:979-776-8855
Practice Address - Street 1:3201 UNIVERSITY DR E
Practice Address - Street 2:SUITE 170
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802
Practice Address - Country:US
Practice Address - Phone:979-774-1255
Practice Address - Fax:979-776-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX145321223G0001X
TX219621223G0001X
TX136441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty