| Premier Dental Center | |
|
1012 W Hebron Pkwy Suite 108 Carrollton TX 75010-1122 | |
| (972) 939-6500 | |
| (972) 939-5300 |
| Full Name | Premier Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1012 W Hebron Pkwy, Carrollton, Texas |
| Authorized Official Name and Position | Aby A Jacob (PRESIDENT) |
| Authorized Official Contact | 9729396500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Center 1012 W Hebron Pkwy Suite 108 Carrollton TX 75010-1122 Ph: (972) 939-6500 | Premier Dental Center 1012 W Hebron Pkwy Suite 108 Carrollton TX 75010-1122 Ph: (972) 939-6500 |
| NPI Number | 1891041463 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891041463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20704 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 20704 (Texas) | Secondary |
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