Ascent Dental LLC
Dentist, General Practice in Keller, TX. Organization (NPI-2).
NPI number1891338158
StatusActive
Last updated in NPPESOct 18, 2019
Details
- NPI
- 1891338158
- Entity type
- Organization (NPI-2)
- Legal business name
- Ascent Dental LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2019
- Last updated
- Oct 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1674 Keller Pkwy Ste 180Keller, TX 76248-3756
Phone 785-764-4535
Mailing address
1674 Keller Pkwy Ste 180Keller, TX 76248-3756
Phone 785-764-4535
Authorized official
Steven Smith
Credentialing Manager
5022449859
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