| Shiloh Family Dentistry, Pllc | |
|
17480 Dallas Pkwy Suite 213 Dallas TX 75287-7337 | |
| (972) 248-1221 | |
| (972) 248-1072 |
| Full Name | Shiloh Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17480 Dallas Pkwy, Dallas, 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 Dentistry, Pllc 5011 Troup Hwy Suite 700 Tyler TX 75707-1917 Ph: (903) 581-5500 | Shiloh Family Dentistry, Pllc 17480 Dallas Pkwy Suite 213 Dallas TX 75287-7337 Ph: (972) 248-1221 |
| NPI Number | 1992099774 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992099774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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