| Simple Dentist Lewisville Pllc | |
|
1079 W Round Grove 800 Lewisville TX 75067 | |
| (917) 376-4408 | |
| Not Available |
| Full Name | Simple Dentist Lewisville Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1079 W Round Grove, Lewisville, Texas |
| Authorized Official Name and Position | Hema Kishore Chapala (OWNER) |
| Authorized Official Contact | 9173764408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Dentist Lewisville Pllc 817 Calcot Drive Coppell TX 75019 Ph: (917) 376-4408 | Simple Dentist Lewisville Pllc 1079 W Round Grove 800 Lewisville TX 75067 Ph: (917) 376-4408 |
| NPI Number | 1902299928 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902299928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26470 (Texas) | Primary |
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