| Thrive Dental Dallas Pllc | |
|
6031 Forest Ln Dallas TX 75230-2703 | |
| (972) 248-9119 | |
| Not Available |
| Full Name | Thrive Dental Dallas Pllc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 6031 Forest Ln, Dallas, Texas |
| Authorized Official Name and Position | Nathan Coughlin (OWNER) |
| Authorized Official Contact | 9722489119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Dental Dallas Pllc 5822 Vickery Blvd Dallas TX 75206-6336 Ph: (972) 248-9119 | Thrive Dental Dallas Pllc 6031 Forest Ln Dallas TX 75230-2703 Ph: (972) 248-9119 |
| NPI Number | 1659103877 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659103877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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