OrganizationHill Country Pediatric Dentistry, PaDentistDental ProvidersPractice Address12225 Bee Caves Rd, Bee Caves, TX 78738(512) 263-7455(830) 693-7044PECOS EnrollmentBased on the most recent information from CMS, provider Hill Country Pediatric Dentistry, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1407001233Provider TypeOrganizationFull NameHill Country Pediatric Dentistry, PaSubpartYesEnumeration Date11/20/2008Last Updated3/17/2010Contact InformationPractice LocationPractice Address12225 Bee Caves Rd, Bee Caves, TX 78738Phone(512) 263-7455Fax(512) 263-7460Mailing LocationMailing Address608 Gateway Central, Suite 201, Marble Falls, TX 78654-6354Phone(830) 693-7044Fax(830) 693-2069Authorized OfficialNameHolland, Clairissa Lynn (Operations Manager)Phone(830) 693-7044Provider TaxonomiesCodeDescriptionLicenseCode1223P0221XPrimaryDescriptionDentistDental ProvidersLicense20081TexasCode1223P0221XDescriptionDentistDental ProvidersLicense19818Texas