| Sprout Dentistry For Kids Pllc | |
|
6675 S. Custer Rd Mckinney TX 75070 | |
| (469) 301-3212 | |
| (469) 301-3213 |
| Full Name | Sprout Dentistry For Kids Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6675 S. Custer Rd, Mckinney, Texas |
| Authorized Official Name and Position | Sage S Yoo (PEDIATRIC DENTIST/PARTNER) |
| Authorized Official Contact | 4693013212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Dentistry For Kids Pllc 585 Chardonnay Dr Fairview TX 75069-1542 Ph: (469) 301-3212 | Sprout Dentistry For Kids Pllc 6675 S. Custer Rd Mckinney TX 75070 Ph: (469) 301-3212 |
| NPI Number | 1821651894 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 04/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821651894 | NPI | - | NPPES |
| 2986143-06 | Other | TX | MEDICAID - TMHP |
| 1144508292 | Other | TX | MEDICAID - DENTALQUEST |
| 32386 | Other | TX | MEDICAID - MCNA |
| 27280 | Other | TX | MEDICAID - MCNA |
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