Ideal Dental North Prosper PLLC
Dentist in Prosper, TX. Organization (NPI-2).
NPI number1174332829
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1174332829
- Entity type
- Organization (NPI-2)
- Legal business name
- Ideal Dental North Prosper PLLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 3, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
201 W Frontier Pkwy Ste 30Prosper, TX 75078
Phone 214-387-8820
Mailing address
Po Box 840925Dallas, TX 75284-0925
Phone 972-361-0600
Authorized official
Matthew Doan
Owner
9723318067
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All 24 Dentist providers in Prosper · All 1,124 providers in Prosper
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