3rdmolar PLLC
Dentist, General Practice in Plano, TX. Organization (NPI-2).
NPI number1033679337
StatusActive
Last updated in NPPESOct 24, 2019
Details
- NPI
- 1033679337
- Entity type
- Organization (NPI-2)
- Legal business name
- 3rdmolar PLLC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2019
- Last updated
- Oct 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
5072 West Plano Pkwy #100Plano, TX 75093-3044
Phone 972-267-6244
Mailing address
9204 Askew StFort Worth, TX 76244-6041
Phone 512-560-0568
Other practice locations
1625 Pecan Park Dr
Arlington, TX 76012-3044
Arlington, TX 76012-3044
Phone 512-560-0568
Authorized official
Jeffrey David Croarkin
Owner/Provider
5125600568
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