| Preston Ridge Dental | |
|
3311 Preston Rd Ste 10 Frisco TX 75034-9027 | |
| (972) 668-7118 | |
| Not Available |
| Full Name | Preston Ridge Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3311 Preston Rd Ste 10, Frisco, Texas |
| Authorized Official Name and Position | Cameron Brian Herring (DENTIST) |
| Authorized Official Contact | 9726687118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Ridge Dental 3311 Preston Rd Ste 10 Frisco TX 75034-9027 Ph: () - | Preston Ridge Dental 3311 Preston Rd Ste 10 Frisco TX 75034-9027 Ph: (972) 668-7118 |
| NPI Number | 1548533391 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548533391 | NPI | - | NPPES |
| 205070001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22184 (Texas) | Primary |
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