Dental Health Professionals
Dentist, General Practice in Lewisville, TX. Organization (NPI-2).
NPI number1144435975
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1144435975
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Health Professionals
- Organization subpart
- No
- Enumeration date
- May 14, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- The Lewisville Dentist (Doing Business As)
Practice location
297 W Round Grove RdSuite 127
Lewisville, TX 75067-8104
Phone 214-488-5505 · Fax 214-488-0500
Mailing address
297 W Round Grove RdSuite 127
Lewisville, TX 75067-8104
Phone 214-488-5505 · Fax 214-488-0500
Authorized official
Amy Kroeger
Ins Cood
2175405100
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