| North Star Dental | |
|
4011 E. Renner Road Suite #107 Richardson TX 75082-2917 | |
| (972) 238-5665 | |
| (972) 238-5765 |
| Full Name | North Star Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4011 E. Renner Road, Richardson, Texas |
| Authorized Official Name and Position | Jeffrey W Moore (PRESIDENT) |
| Authorized Official Contact | 9722385665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Dental 4011 E. Renner Road Suite #107 Richardson TX 75082-2917 Ph: (972) 238-5665 | North Star Dental 4011 E. Renner Road Suite #107 Richardson TX 75082-2917 Ph: (972) 238-5665 |
| NPI Number | 1003901661 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003901661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14959 (Texas) | Primary |
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