| Summit Dental Care | |
|
2001 E Highway 114 Suite 170 Trophy Club TX 76262-6684 | |
| (817) 359-3800 | |
| Not Available |
| Full Name | Summit Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2001 E Highway 114, Trophy Club, Texas |
| Authorized Official Name and Position | Kris Ann Word (OWNER PARTNER) |
| Authorized Official Contact | 9723593800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental Care 2001 E Highway 114 Suite 170 Trophy Club TX 76262-6684 Ph: (817) 359-3800 | Summit Dental Care 2001 E Highway 114 Suite 170 Trophy Club TX 76262-6684 Ph: (817) 359-3800 |
| NPI Number | 1336297563 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336297563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17972 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 18171 (Texas) | Secondary |
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