| Southern Star Dental | |
|
201 E Bethany Dr Ste 20 Allen TX 75002-3800 | |
| (214) 383-4600 | |
| (214) 383-4601 |
| Full Name | Southern Star Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 E Bethany Dr, Allen, Texas |
| Authorized Official Name and Position | Pennie Moreland (OWNER) |
| Authorized Official Contact | 2143834600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Star Dental 201 E Bethany Dr Ste 20 Allen TX 75002-3800 Ph: (214) 383-4600 | Southern Star Dental 201 E Bethany Dr Ste 20 Allen TX 75002-3800 Ph: (214) 383-4600 |
| NPI Number | 1548714371 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 08/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548714371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22606 (Texas) | Primary |
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