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840 Central Pkwy E Suite 100 Plano TX 75074-5551 | |
| (972) 578-7800 | |
| (972) 867-9211 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 840 Central Pkwy E, Plano, Texas |
| Authorized Official Name and Position | Victoria M. Hawkins (OPERATIONS MANAGER) |
| Authorized Official Contact | 9725787800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
840 Central Pkwy E Suite 100 Plano TX 75074-5551 Ph: (972) 578-7800 | 840 Central Pkwy E Suite 100 Plano TX 75074-5551 Ph: (972) 578-7800 |
| NPI Number | 1114045267 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 04/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114045267 | NPI | - | NPPES |
| 171851201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 13930 (Texas) | Primary |
Carewell Dental Clinic, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 Stonewood Dr, Suite #210, Plano, TX 75024 Phone: 972-596-0100 Fax: 972-596-7999 | |
Curtis A. Crandall, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 14th St, Plano, TX 75074 Phone: 972-423-4595 Fax: 972-881-8709 | |
Legacy Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6837 Coit Rd Ste A, Plano, TX 75024 Phone: 972-618-5050 | |
Gerlach & Gerlach D.d.s. Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 W Spring Creek Pkwy, Suite 165, Plano, TX 75024 Phone: 972-964-1855 Fax: 972-943-9301 | |