| Lewisville Dental Associates, Pllc | |
|
105 Kathryn Dr Suite A Lewisville TX 75067-4216 | |
| (972) 221-9136 | |
| (972) 353-3722 |
| Full Name | Lewisville Dental Associates, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 Kathryn Dr, Lewisville, Texas |
| Authorized Official Name and Position | Rex Alan Payne (OWNER) |
| Authorized Official Contact | 9722219136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewisville Dental Associates, Pllc 105 Kathryn Dr Suite A Lewisville TX 75067-4216 Ph: (972) 221-9136 | Lewisville Dental Associates, Pllc 105 Kathryn Dr Suite A Lewisville TX 75067-4216 Ph: (972) 221-9136 |
| NPI Number | 1811151152 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811151152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13793 (Texas) | Primary |
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