Dental Sleep Medicine Of North Texas, PA
Dentist, General Practice in Waxahachie, TX. Organization (NPI-2).
NPI number1376009233
StatusActive
Last updated in NPPESFeb 15, 2019
Details
- NPI
- 1376009233
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Sleep Medicine Of North Texas, PA
- Organization subpart
- No
- Enumeration date
- Feb 15, 2019
- Last updated
- Feb 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
125 Park Place BlvdWaxahachie, TX 75165
Phone 972-737-5337
Mailing address
125 Park Place BlvdWaxahachie, TX 75165
Phone 972-737-5337
Authorized official
Scott Gene Clinton
Owner
2142075267
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