| Mansfield Oral And Facial Surgery | |
|
1705 Fountainview Dr #103 Mansfield TX 76063 | |
| (817) 453-4404 | |
| (817) 453-4416 |
| Full Name | Mansfield Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1705 Fountainview Dr #103, Mansfield, Texas |
| Authorized Official Name and Position | Lindsay Allison Joyce (FRONT OFFICE) |
| Authorized Official Contact | 8174534404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Oral And Facial Surgery 1705 Fountainview Dr #103 Mansfield TX 76063 Ph: (817) 453-4404 | Mansfield Oral And Facial Surgery 1705 Fountainview Dr #103 Mansfield TX 76063 Ph: (817) 453-4404 |
| NPI Number | 1972771053 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972771053 | NPI | - | NPPES |
| 176821001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | L9710 (Texas) | Primary |
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Broad Park Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1750 E Broad St, Mansfield, TX 76063 Phone: 817-473-6857 Fax: 817-473-3256 | |
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Second Impression Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Fountainview Dr Ste 105, Mansfield, TX 76063 Phone: 682-232-4335 | |
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