| Shiloh Family Dental | |
|
5011 Troup Hwy # 700 Tyler TX 75707-1917 | |
| (903) 581-5500 | |
| Not Available |
| Full Name | Shiloh Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5011 Troup Hwy # 700, Tyler, Texas |
| Authorized Official Name and Position | William Robert Jennings (OWNER) |
| Authorized Official Contact | 9035815500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiloh Family Dental 5011 Troup Hwy # 700 Tyler TX 75707-1917 Ph: (903) 581-5500 | Shiloh Family Dental 5011 Troup Hwy # 700 Tyler TX 75707-1917 Ph: (903) 581-5500 |
| NPI Number | 1972812667 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972812667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18962 (Texas) | Primary |
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