| The Kid's Dentist, Pc | |
|
2337 S. Beltline Rd. Ste 100 Grand Prairie TX 75051 | |
| (972) 282-9444 | |
| (972) 282-9446 |
| Full Name | The Kid's Dentist, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2337 S. Beltline Rd., Grand Prairie, Texas |
| Authorized Official Name and Position | Joseph Anwah (DIRECTOR) |
| Authorized Official Contact | 9722829444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kid's Dentist, Pc 2337 S. Beltline Rd. Ste 100 Grand Prairie TX 75051 Ph: (972) 282-9444 | The Kid's Dentist, Pc 2337 S. Beltline Rd. Ste 100 Grand Prairie TX 75051 Ph: (972) 282-9444 |
| NPI Number | 1306084983 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306084983 | NPI | - | NPPES |
| 284081101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 23641 (Texas) | Primary |
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Kimberly M Parson Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2360 W Camp Wisdom Rd Ste 170, Grand Prairie, TX 75052 Phone: 469-340-4002 | |
Thad Taylor Iv Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 Phone: 972-647-8008 Fax: 972-660-8509 | |
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