Dallas Endodontics, P.a. | |
11910 Greenville Ave Suite 450 Dallas TX 75243-3596 | |
(972) 644-1162 | |
(972) 783-6660 |
Full Name | Dallas Endodontics, P.a. |
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Speciality | Dentist - Endodontics |
Location | 11910 Greenville Ave, Dallas, Texas |
Authorized Official Name and Position | Lori Willis (ADMINISTRATIVE ASST.) |
Authorized Official Contact | 9726441162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dallas Endodontics, P.a. 11910 Greenville Ave Suite 450 Dallas TX 75243-3596 Ph: (972) 644-1162 | Dallas Endodontics, P.a. 11910 Greenville Ave Suite 450 Dallas TX 75243-3596 Ph: (972) 644-1162 |
NPI Number | 1902954472 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 01/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902954472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 10924 (Texas) | Secondary |
1223E0200X | Dentist - Endodontics | 16886 (Texas) | Secondary |
1223E0200X | Dentist - Endodontics | 19484 (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 | |
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