| Nomad Dental Specialist | |
|
6337 Tulip Ln Dallas TX 75230-3829 | |
| (045) 148-1204 | |
| (833) 415-1902 |
| Full Name | Nomad Dental Specialist |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6337 Tulip Ln, Dallas, Texas |
| Authorized Official Name and Position | Rebecca Peterson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9518332740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nomad Dental Specialist 6337 Tulip Ln Dallas TX 75230-3829 Ph: (404) 287-8120 | Nomad Dental Specialist 6337 Tulip Ln Dallas TX 75230-3829 Ph: (045) 148-1204 |
| NPI Number | 1669239612 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669239612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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