| Prosper Star Dental Company Pllc | |
|
2300 Prosper Trail Suite 40 Prosper TX 75078 | |
| (972) 347-4080 | |
| Not Available |
| Full Name | Prosper Star Dental Company Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2300 Prosper Trail, Prosper, Texas |
| Authorized Official Name and Position | Taylor E Niggle (OWNER) |
| Authorized Official Contact | 9723474080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosper Star Dental Company Pllc 2300 Prosper Trail Suite 40 Prosper TX 75078 Ph: (972) 347-4080 | Prosper Star Dental Company Pllc 2300 Prosper Trail Suite 40 Prosper TX 75078 Ph: (972) 347-4080 |
| NPI Number | 1417734781 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417734781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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