| Ennis Dental Pllc | |
|
1012 E Ennis Ave Suite C Ennis TX 75119-4345 | |
| (972) 875-2501 | |
| Not Available |
| Full Name | Ennis Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1012 E Ennis Ave, Ennis, Texas |
| Authorized Official Name and Position | Everett C Evans (DDS, OWNER) |
| Authorized Official Contact | 9408081970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ennis Dental Pllc 3600 E Mckinney St 100 Denton TX 76209-7557 Ph: (940) 808-1970 | Ennis Dental Pllc 1012 E Ennis Ave Suite C Ennis TX 75119-4345 Ph: (972) 875-2501 |
| NPI Number | 1821471061 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821471061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23695 (Texas) | Primary |
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