| Lewisville Family Dental Pllc | |
|
2702 Lake Vista Dr # 1 Lewisville TX 75067-3802 | |
| (214) 989-7431 | |
| Not Available |
| Full Name | Lewisville Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2702 Lake Vista Dr # 1, Lewisville, Texas |
| Authorized Official Name and Position | William Robert Jennings (OWNER) |
| Authorized Official Contact | 9402068956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewisville Family Dental Pllc 2109 Commerce St # 200 Dallas TX 75201-4305 Ph: (972) 248-1221 | Lewisville Family Dental Pllc 2702 Lake Vista Dr # 1 Lewisville TX 75067-3802 Ph: (214) 989-7431 |
| NPI Number | 1922768316 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922768316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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