| Colleyville Dentistry Pllc | |
|
8094 Precinct Line Rd Colleyville TX 76034-7547 | |
| (817) 581-3737 | |
| Not Available |
| Full Name | Colleyville Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8094 Precinct Line Rd, Colleyville, Texas |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleyville Dentistry Pllc 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: () - | Colleyville Dentistry Pllc 8094 Precinct Line Rd Colleyville TX 76034-7547 Ph: (817) 581-3737 |
| NPI Number | 1972376804 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972376804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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