| Texas Dental Surgery | |
|
1180 N Coit Rd Ste 40 Prosper TX 75078 | |
| (469) 296-8680 | |
| (269) 296-8681 |
| Full Name | Texas Dental Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1180 N Coit Rd Ste 40, Prosper, Texas |
| Authorized Official Name and Position | Lori D Morgan (PRACTICE MANAGER) |
| Authorized Official Contact | 4692968680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Dental Surgery 1180 N Coit Road Suite 40 Prosper TX 75078 Ph: (469) 296-8680 | Texas Dental Surgery 1180 N Coit Rd Ste 40 Prosper TX 75078 Ph: (469) 296-8680 |
| NPI Number | 1750805602 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750805602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 23867 (Texas) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 19330 (Texas) | Primary |
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