| Dental Implant Surgery Center | |
|
7965 Custer Road Suite 114 Plano TX 75025-3155 | |
| (972) 527-4867 | |
| (972) 665-1818 |
| Full Name | Dental Implant Surgery Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7965 Custer Road, Plano, Texas |
| Authorized Official Name and Position | Edward A Shinedling (PRINCIPAL SURGEON, PRESIDENT) |
| Authorized Official Contact | 9725274867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Implant Surgery Center 7965 Custer Road Suite 114 Plano TX 75025-3155 Ph: (972) 527-4867 | Dental Implant Surgery Center 7965 Custer Road Suite 114 Plano TX 75025-3155 Ph: (972) 527-4867 |
| NPI Number | 1134158330 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134158330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 18760 (Texas) | Primary |
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