| Pediatric Dentistry Of Princeton | |
|
275 W Princeton Dr Suite 100 Princeton TX 75407-9602 | |
| (972) 736-1000 | |
| (972) 736-1002 |
| Full Name | Pediatric Dentistry Of Princeton |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 275 W Princeton Dr, Princeton, Texas |
| Authorized Official Name and Position | Robert Williamson (DIRECTOR/OWNER) |
| Authorized Official Contact | 9727361000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Princeton 275 W Princeton Dr Suite 100 Princeton TX 75407-9602 Ph: (972) 736-1000 | Pediatric Dentistry Of Princeton 275 W Princeton Dr Suite 100 Princeton TX 75407-9602 Ph: (972) 736-1000 |
| NPI Number | 1245516574 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245516574 | NPI | - | NPPES |
| 1316103443 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 23222 (Texas) | Primary |
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