| Jason D Roe, Dds, Pllc | |
|
5136 Village Creek Dr Ste 501 Plano TX 75093-4460 | |
| (972) 931-1777 | |
| Not Available |
| Full Name | Jason D Roe, Dds, Pllc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5136 Village Creek Dr Ste 501, Plano, Texas |
| Authorized Official Name and Position | Jason Derek Roe (DENTIST/OWNER) |
| Authorized Official Contact | 9729311777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason D Roe, Dds, Pllc 5136 Village Creek Dr Ste 501 Plano TX 75093-4460 Ph: (972) 931-1777 | Jason D Roe, Dds, Pllc 5136 Village Creek Dr Ste 501 Plano TX 75093-4460 Ph: (972) 931-1777 |
| NPI Number | 1437887254 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437887254 | NPI | - | NPPES |
| 22741 | Other | TX | TEXAS STATE DENTAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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