| The Dentist | |
|
4251 Fm 2181 Ste 264 Corinth TX 76210-4220 | |
| (940) 497-3000 | |
| (940) 497-3010 |
| Full Name | The Dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4251 Fm 2181, Corinth, Texas |
| Authorized Official Name and Position | Richard Bernard Luczak (PRESIDENT) |
| Authorized Official Contact | 9404973000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentist 4251 Fm 2181 Ste 264 Corinth TX 76210-4220 Ph: (940) 497-3000 | The Dentist 4251 Fm 2181 Ste 264 Corinth TX 76210-4220 Ph: (940) 497-3000 |
| NPI Number | 1245232594 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245232594 | NPI | - | NPPES |
| 870515 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19398 (Texas) | Primary |
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