| Pure Dental Oral Surgery Pllc | |
|
5321 E Mockingbird Ln Ste 210 Dallas TX 75206-0915 | |
| (214) 550-5051 | |
| (214) 550-5051 |
| Full Name | Pure Dental Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5321 E Mockingbird Ln Ste 210, Dallas, Texas |
| Authorized Official Name and Position | Field Harrison (CEO/OWNER) |
| Authorized Official Contact | 2145505051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Dental Oral Surgery Pllc 3201 W Airport Fwy Ste 102 Irving TX 75062-5928 Ph: (972) 893-8730 | Pure Dental Oral Surgery Pllc 5321 E Mockingbird Ln Ste 210 Dallas TX 75206-0915 Ph: (214) 550-5051 |
| NPI Number | 1144700394 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 06/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144700394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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