| Breckinridge Dental And Orthodontics | |
|
4150 E Renner Rd Suite 400 Richardson TX 75082-2816 | |
| (323) 898-3102 | |
| Not Available |
| Full Name | Breckinridge Dental And Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4150 E Renner Rd, Richardson, Texas |
| Authorized Official Name and Position | Nathan Coughlin (OWNER) |
| Authorized Official Contact | 3238983102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breckinridge Dental And Orthodontics 4150 E Renner Rd #400 Richardson TX 75082-2816 Ph: (972) 248-9119 | Breckinridge Dental And Orthodontics 4150 E Renner Rd Suite 400 Richardson TX 75082-2816 Ph: (323) 898-3102 |
| NPI Number | 1376921528 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376921528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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