| 380 Family Dentistry Pc | |
|
1361 E University Dr Ste 10 Prosper TX 75078-7265 | |
| (972) 533-2458 | |
| Not Available |
| Full Name | 380 Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1361 E University Dr Ste 10, Prosper, Texas |
| Authorized Official Name and Position | Travis Mckay Campbell (OWNER) |
| Authorized Official Contact | 9725332458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 380 Family Dentistry Pc 1361 E University Dr Ste 10 Prosper TX 75078-7265 Ph: (972) 533-2458 | 380 Family Dentistry Pc 1361 E University Dr Ste 10 Prosper TX 75078-7265 Ph: (972) 533-2458 |
| NPI Number | 1942910351 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942910351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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