| Innate Dental Pllc | |
|
4708 W Plano Pkwy Ste 200 Plano TX 75093-5335 | |
| (972) 519-0990 | |
| (469) 613-0862 |
| Full Name | Innate Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4708 W Plano Pkwy Ste 200, Plano, Texas |
| Authorized Official Name and Position | Crystal Henderson (DIRECTOR) |
| Authorized Official Contact | 4698422012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innate Dental Pllc 4708 W Plano Pkwy Ste 200 Plano TX 75093-5335 Ph: (972) 519-0990 | Innate Dental Pllc 4708 W Plano Pkwy Ste 200 Plano TX 75093-5335 Ph: (972) 519-0990 |
| NPI Number | 1558985184 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 05/13/2021 |
| Medicare PECOS PAC ID | 7012330343 |
|---|---|
| Medicare Enrollment ID | O20200706001080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558985184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Vladimir Vitalyevich Melnikov |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1538415740 PECOS PAC ID: 0648506220 Enrollment ID: I20190722000341 |
| Provider Name | Olumide T Olowokere |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962058552 PECOS PAC ID: 7416370754 Enrollment ID: I20200706001389 |
| Provider Name | Mehrad Sadeghpour |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437637618 PECOS PAC ID: 0244628956 Enrollment ID: I20211029001637 |
| Provider Name | Fred E Thompson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326254772 PECOS PAC ID: 3072901511 Enrollment ID: I20211102001994 |
| Provider Name | Mujibunnisa Shaik |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912321860 PECOS PAC ID: 7315325438 Enrollment ID: I20220602000016 |
Carewell Dental Clinic, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 Stonewood Dr, Suite #210, Plano, TX 75024 Phone: 972-596-0100 Fax: 972-596-7999 | |
Curtis A. Crandall, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 14th St, Plano, TX 75074 Phone: 972-423-4595 Fax: 972-881-8709 | |
Willow Bend Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5400 W Plano Pkwy Ste 250, Plano, TX 75093 Phone: 972-732-1400 Fax: 972-732-1535 | |
Asana Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2220 Coit Rd, Suite 570, Plano, TX 75075 Phone: 972-964-6500 | |
Legacy Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6837 Coit Rd Ste A, Plano, TX 75024 Phone: 972-618-5050 | |
Gerlach & Gerlach D.d.s. Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 W Spring Creek Pkwy, Suite 165, Plano, TX 75024 Phone: 972-964-1855 Fax: 972-943-9301 | |
Ridge Point Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Wolfe Cir, Plano, TX 75025 Phone: 214-862-3100 |