| Custom Dental Of Carrollton, Pllc | |
|
17610 Midway Rd Ste 110 Dallas TX 75287-6741 | |
| (405) 227-6100 | |
| Not Available |
| Full Name | Custom Dental Of Carrollton, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17610 Midway Rd Ste 110, Dallas, Texas |
| Authorized Official Name and Position | Rene Rodgers (COO) |
| Authorized Official Contact | 4052276100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Dental Of Carrollton, Pllc 17610 Midway Rd Ste 110 Dallas TX 75287-6741 Ph: (405) 227-6100 | Custom Dental Of Carrollton, Pllc 17610 Midway Rd Ste 110 Dallas TX 75287-6741 Ph: (405) 227-6100 |
| NPI Number | 1366924383 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366924383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 26171 (Texas) | Primary |
Jdc Healthcare, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy, Suite 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-488-1899 | |
Preston Commons Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8117 Preston Rd, Dallas, TX 75225 Phone: 214-361-6302 Fax: 214-265-7022 | |
Ideal Dental Of Rowlett Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12770 Merit Dr, Suite 850, Dallas, TX 75251 Phone: 972-361-0600 | |
Northeast Dallas Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 Phone: 214-302-0807 | |
Dds Associates Of Texas Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15660 Dallas Pkwy Ste 925, Dallas, TX 75248 Phone: 214-702-0729 | |
Ajaybir Singh Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Zang Blvd Ste 100, Dallas, TX 75208 Phone: 972-779-6268 | |
Northwood Endodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6380 Lbj Fwy Ste 188, Dallas, TX 75240 Phone: 972-644-1998 |