| Contemporary Facial And Oral Surgery Pllc | |
|
3443 E. Renner Rd. Suite 100 Plano TX 75074 | |
| (214) 572-8633 | |
| (214) 572-8638 |
| Full Name | Contemporary Facial And Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3443 E. Renner Rd., Plano, Texas |
| Authorized Official Name and Position | Stephen M Chan (OWNER) |
| Authorized Official Contact | 2145728633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Contemporary Facial And Oral Surgery Pllc 3443 E. Renner Rd. Suite 100 Plano TX 75074 Ph: (214) 572-8633 | Contemporary Facial And Oral Surgery Pllc 3443 E. Renner Rd. Suite 100 Plano TX 75074 Ph: (214) 572-8633 |
| NPI Number | 1700038163 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 07/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700038163 | NPI | - | NPPES |
| 1235333741 | Other | TX | NPI |
| 198110201 | Medicaid | TX | |
| 192748502 | Medicaid | TX | |
| 1700038163 | Other | TX | GROUP NPI |
| 1326241928 | Other | TX | NPI |
| 198109401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Texas) | Primary |
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