| South Plano Family Dentistry, Pllc | |
|
1332 S Plano Rd Ste 530 Richardson TX 75081-5954 | |
| (940) 220-7833 | |
| Not Available |
| Full Name | South Plano Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1332 S Plano Rd Ste 530, Richardson, Texas |
| Authorized Official Name and Position | Everett Chad Evans (OWNER/DENTIST) |
| Authorized Official Contact | 9402207833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Plano Family Dentistry, Pllc 1332 S Plano Rd Ste 534 Richardson TX 75081-5956 Ph: () - | South Plano Family Dentistry, Pllc 1332 S Plano Rd Ste 530 Richardson TX 75081-5954 Ph: (940) 220-7833 |
| NPI Number | 1720746647 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720746647 | NPI | - | NPPES |
| 432464201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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