| Heritage Dental Group | |
|
747 Highway 287 N Mansfield TX 76063-2619 | |
| (817) 473-0244 | |
| Not Available |
| Full Name | Heritage Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 747 Highway 287 N, Mansfield, Texas |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Dental Group 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: (214) 702-0720 | Heritage Dental Group 747 Highway 287 N Mansfield TX 76063-2619 Ph: (817) 473-0244 |
| NPI Number | 1245752336 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245752336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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