| North Texas Dental Surgery Pllc | |
|
1870 N Stonebridge Dr # 110 Mckinney TX 75071-7443 | |
| (145) 920-6922 | |
| (469) 383-8060 |
| Full Name | North Texas Dental Surgery Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1870 N Stonebridge Dr # 110, Mckinney, Texas |
| Authorized Official Name and Position | Daniel Choi (PERIODONTIST) |
| Authorized Official Contact | 2145920692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Dental Surgery Pllc 1870 N Stonebridge Dr # 110 Mckinney TX 75071-7443 Ph: () - | North Texas Dental Surgery Pllc 1870 N Stonebridge Dr # 110 Mckinney TX 75071-7443 Ph: (145) 920-6922 |
| NPI Number | 1740972314 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 0042658825 |
|---|---|
| Medicare Enrollment ID | O20240329002764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740972314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Daniel Choi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063709848 PECOS PAC ID: 8123332244 Enrollment ID: I20240329002774 |
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