| Prosper Dentistry & Orthodontics, Pa | |
|
110 N Preston Rd Ste 10 Prosper TX 75078-8644 | |
| (972) 346-2080 | |
| Not Available |
| Full Name | Prosper Dentistry & Orthodontics, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 N Preston Rd Ste 10, Prosper, Texas |
| Authorized Official Name and Position | Jeff R. Gilson (DENTIST/OWNER) |
| Authorized Official Contact | 9727439811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosper Dentistry & Orthodontics, Pa Po Box 992 Prosper TX 75078-0993 Ph: (972) 743-9811 | Prosper Dentistry & Orthodontics, Pa 110 N Preston Rd Ste 10 Prosper TX 75078-8644 Ph: (972) 346-2080 |
| NPI Number | 1154552701 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 08/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154552701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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